Active NPI
Carolina Behavioral Care
- Clinical Psychologist
- Pinehurst, NC
National Provider Identifier
1669534764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- CAROLINA BEHAVIORAL CARE
- Practice address
- 289 Olmsted Blvd
Suite 1
Pinehurst, NC 28374-9023 - Phone
- (910) 295-6007
- Fax
- (910) 215-0179
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elisabeth Pesce
- Title
- Secretary
- Phone
- (904) 605-4986
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Psychologist | 103TC0700X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
289 Olmsted Blvd
Suite 1
Pinehurst, NC 28374-9023
Mailing address
PO Box 1630
Pinehurst, NC 28370-1630
Phone (910) 295-6007
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005703 | Medicaid | NC | |
| 0122R | Other | NC | BCBC GROUP |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678752000000",
"number": "1669534764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1630",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283701630",
"telephone_number": "910-295-6007",
"fax_number": "910-215-0179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 OLMSTED BLVD",
"address_2": "SUITE 1",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283749023",
"telephone_number": "910-295-6007",
"fax_number": "910-215-0179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA BEHAVIORAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A",
"authorized_official_last_name": "PESCE",
"authorized_official_first_name": "ELISABETH",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "904-605-4986"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005703",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBC GROUP",
"identifier": "0122R",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
- Maria Manuela Cantu, RBT
- Cape Fear Valley Health Medical Group LLC
- Burma Garner Cardwell, ORTHOTIST
- Alexandra Whitney Carlton, PA
- Vivian Peitz Carlyle, RN
- Carolina Behavioral Care, PA
- Carolina Center for Pain P a
- Carolina Regional Anesthesia PLLC
- Carolina Skin Care, PA
- Ashley B Carpenter, REGISTERED DIETICIAN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.