NPIMap

Organization Active NPI

Advanced Health Resources

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1679629091
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C004802 Issued in NC
Legal business name
ADVANCED HEALTH RESOURCES
Practice address
3622 Haworth Dr
Raleigh, NC 27609-7219
Phone
(919) 847-3035
NPI assigned
Jan 26, 2007
Last updated
Feb 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Mr. George Vergolias, PSY D
Title
Clinical Director
Phone
(919) 847-3035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C004802 NC Primary

Addresses

Primary practice location

3622 Haworth Dr
Raleigh, NC 27609-7219

Mailing address

7408 Sandy Creek Dr
Raleigh, NC 27615-6195
Phone (919) 847-0056

National Provider Directory

National Provider Directory
Tax ID family
Advanced Health Resources41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Locations

3622 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1273

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1679629091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7408 SANDY CREEK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156195",
            "telephone_number": "919-847-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 HAWORTH DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097219",
            "telephone_number": "919-847-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "VERGOLIAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "919-847-3035",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C004802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.