Coastal Carolina Neuropsychiatric Crisis Services, PA

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

COASTAL CAROLINA NEUROPSYCHIATRIC CRISIS SERVICES, PA

Practice address

117 Beasley Street
Kenansville, NC 28349-0000

Phone

(910) 275-0222

NPI assigned

Aug 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ashraf G Mikhail, MD

Title

President/Ceo

Phone

(910) 275-0222

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1699089516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TARPON TRL",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465287",
            "telephone_number": "910-275-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 BEASLEY STREET",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283490000",
            "telephone_number": "910-275-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA NEUROPSYCHIATRIC CRISIS SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "910-275-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina East Home Care & Hospice, Inc.
• Carolina East Home Care & Hospice, Inc.
• Carolina East Home Care & Hospice, Inc.
• Vincent Kilmer Cheek, M.D.
• Anthony J Chung, M.D.
• Coastal Cove of Kenansville LLC
• Joseph Litton Cooper, M.D.
• Ruth Dail Cooper, FNP
• Melissa W. Costello, RRT
• County of Duplin (Duplin County Department of Social Services)

• Adult Mental Health Clinic/Center in Kenansville, NC
• Providers in Kenansville, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.