Organization Active NPI

Hillsborough Psychiatry & Psychotherapy Associates, PLLC

  • Clinical Social Worker
  • Hillsborough, NC
National Provider Identifier
1689852360
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HILLSBOROUGH PSYCHIATRY & PSYCHOTHERAPY ASSOCIATES, PLLC
Practice address
960 Corporate Dr
Suite 402
Hillsborough, NC 27278-8558
Phone
(919) 732-2130
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Ms. Mary Jane Endres, LCSW
Title
Partner
Phone
(919) 732-2130

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

960 Corporate Dr
Suite 402
Hillsborough, NC 27278-8558

Mailing address

960 Corporate Dr
Suite 402
Hillsborough, NC 27278-8558
Phone (919) 732-2130

National Provider Directory

National Provider Directory

Locations

960 Corporate Dr
Ste 402
Hillsborough, NC 27278
Phone (919) 732-2130

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1689852360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 CORPORATE DR",
            "address_2": "SUITE 402",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788558",
            "telephone_number": "919-732-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 CORPORATE DR",
            "address_2": "SUITE 402",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788558",
            "telephone_number": "919-732-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBOROUGH PSYCHIATRY & PSYCHOTHERAPY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "ENDRES",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "919-732-2130",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.