Organization Active NPI

Wellness Institute for Community Living

  • Adult Mental Health Clinic/Center
  • Kittrell, NC
National Provider Identifier
1679885099
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
WELLNESS INSTITUTE FOR COMMUNITY LIVING
Practice address
26 Malones Way
Kittrell, NC 27544-9159
Phone
(252) 438-9517
Fax
(919) 496-2906
NPI assigned
Jul 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Mr. Ricky Allen Paylor
Title
Director
Phone
(252) 438-9517

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

26 Malones Way
Kittrell, NC 27544-9159

Mailing address

26 Malones Way
Kittrell, NC 27544-9159
Phone (252) 438-9517

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1679885099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MALONES WAY",
            "city": "KITTRELL",
            "state": "NC",
            "postal_code": "275449159",
            "telephone_number": "252-438-9517",
            "fax_number": "919-496-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MALONES WAY",
            "city": "KITTRELL",
            "state": "NC",
            "postal_code": "275449159",
            "telephone_number": "252-438-9517",
            "fax_number": "919-496-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS INSTITUTE FOR COMMUNITY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "PAYLOR",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-438-9517",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittrell, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.