Organization Active NPI

Family Behavioral Health, PLLC

  • Psychiatry Physician
  • Winston Salem, NC
National Provider Identifier
1659591162
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
000028820 Issued in NC
Legal business name
FAMILY BEHAVIORAL HEALTH, PLLC
Practice address
3000 Bethesda PL
# 801
Winston Salem, NC 27103-3331
Phone
(336) 659-9141
Fax
(336) 659-1456
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barry N Williams, MDNPI 1366409914
Title
MD Owner
Phone
(336) 659-9141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 000028820 NC Primary

Addresses

Primary practice location

3000 Bethesda PL
# 801
Winston Salem, NC 27103-3331

Mailing address

3000 Bethesda Place
# 801
Winston Salem, NC 27103
Phone (336) 659-9141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324001283 NC Part B Supplier - Clinic/Group Practice 1254222482 Receives reassigned benefits from 3 practitioners
Practice locations: Winston Salem, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2034281Family Behavioral Health3000 Bethesda Place, 802, Winston Salem, NC 27103Certificate of waiverJul 7, 2026

National Provider Directory

National Provider Directory

Locations

3000 Bethesda Pl
Ste 801
Winston Salem, NC 27103
Phone (336) 659-9141

7830 N Point Blvd
Ste 101
Winston Salem, NC 27106
Phone (336) 896-0904

3000 Bethesda Pl
Ste 802
Winston Salem, NC 27103
Phone (336) 765-6033

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1659591162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PLACE",
            "address_2": "# 801",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-659-9141",
            "fax_number": "336-659-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL",
            "address_2": "# 801",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033331",
            "telephone_number": "336-659-9141",
            "fax_number": "336-659-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "336-659-9141",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "000028820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.