Carolina Partners in Mental

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CAROLINA PARTNERS IN MENTAL

Doing business as

Carolina Partners of Cary

Practice address

790 SE Cary Pkwy
Cary, NC 27511-5678

Phone

(919) 929-9610

NPI assigned

May 20, 2014

Last updated

Mar 8, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Jasmine Spaulding

Title

Payor Relations Supervisor

Phone

(916) 567-7893

Specialties & licenses 4

Addresses

Other names 1

• Carolina Partners of Cary Doing business as

Tax ID family

Carolina Partners in Mental3 organizations share this tax ID, including this one

Part of

Medvantx Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Carolina Partners in Mental

  dba Carolina Partners of Durham

  • Non-Pharmacy Dispensing Site
  • Durham, NC
  • NPI 1821409251
  NPD tax ID
• Carolina Partners in Mental

  dba Carolina Partners of Raleigh NC

  • Non-Pharmacy Dispensing Site
  • Raleigh, NC
  • NPI 1861810715
  NPD tax ID

Locations

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1669884094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 SE CARY PKWY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115678",
            "telephone_number": "919-929-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PARTNERS IN MENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2014-05-20",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "SPAULDING",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "PAYOR RELATIONS SUPERVISOR",
        "authorized_official_telephone_number": "916-567-7893"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NC",
            "license": "200101261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Partners of Cary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in Cary, NC
• Providers in Cary, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.