NPIMap

Organization Active NPI

Institute for Family Centered Services

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1689818510
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INSTITUTE FOR FAMILY CENTERED SERVICES
Practice address
4035 University Pkwy
Suite 101
Winston Salem, NC 27106-3276
Phone
(336) 397-1560
Fax
(336) 397-1566
NPI assigned
Apr 22, 2009
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Mary Patricia Rodenberg-Roberts
Title
VP & Sr Asst General Counsel
Phone
(952) 836-2234

Specialties & licenses 1

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

Addresses

Primary practice location

4035 University Pkwy
Suite 101
Winston Salem, NC 27106-3276

Mailing address

3210 Skipwith Rd Ste B
Henrico, VA 23294-4443
Phone (804) 346-0051

Other identifiers 2

IdentifierTypeStateIssuer
8302820MedicaidNC
6112271MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Institute for Family Centered Services47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

Locations

4035 University Pkwy
Ste 101
Winston Salem, NC 27106
Phone (336) 397-1560

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1689818510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 SKIPWITH RD STE B",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944443",
            "telephone_number": "804-346-0051",
            "fax_number": "804-346-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 UNIVERSITY PKWY",
            "address_2": "SUITE 101",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063276",
            "telephone_number": "336-397-1560",
            "fax_number": "336-397-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR FAMILY CENTERED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "RODENBERG-ROBERTS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "VP & SR ASST GENERAL COUNSEL",
        "authorized_official_telephone_number": "952-836-2234"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302820",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6112271",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.