Sequel Tsi of North Carolina, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

SEQUEL TSI OF NORTH CAROLINA, LLC

Practice address

2480 Hadley Mill Rd
Pittsboro, NC 27312-7832

Phone

(919) 542-1104

Fax

(919) 542-5565

NPI assigned

Dec 8, 2009

Last updated

Dec 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Stupak

Title

President

Phone

(267) 419-8913

Specialties & licenses 2

Addresses

Tax ID family

Sequel Tsi of North Carolina LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sequel Tsi of North Carolina, LLC

  • Community/Behavioral Health Agency
  • Pittsboro, NC
  • NPI 1558690453
  NPD tax ID

Locations

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1679802458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1370",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273121370",
            "telephone_number": "919-542-1104",
            "fax_number": "919-542-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 HADLEY MILL RD",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273127832",
            "telephone_number": "919-542-1104",
            "fax_number": "919-542-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUEL TSI OF NORTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "STUPAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-419-8913"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Melissa Scott, PHARMD
• Selina Grove Counseling PLLC
• John E. Sena, D.C.
• Senior Helpers of Chapel Hill
• Sequel Tsi of North Carolina, LLC
• Sherwood Chiropractic PLLC
• Sidharth Bansal DDS PA (Pittsboro Dental Associates)
• Rachel Alexandra Sledge, PT, DPT
• Austin Snow
• Southern Comfort Home Care

• Psychiatric Residential Treatment Facility in Pittsboro, NC
• Providers in Pittsboro, NC by specialty
• Psychiatric Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.