Organization Active NPI

Colonial Integrative Health Services, Inc.

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1700219334
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COLONIAL INTEGRATIVE HEALTH SERVICES, INC.
Practice address
2849 New Bern Ave
Suite 112
Raleigh, NC 27610
Phone
(888) 312-0127
Fax
(888) 312-0127
NPI assigned
Aug 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
Jamila Battle, MD
Title
President
Phone
(888) 312-0127

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2849 New Bern Ave
Suite 112
Raleigh, NC 27610

Mailing address

2820 Peachleaf St
Raleigh, NC 27614-7966
Phone (888) 312-0127

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1700219334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 PEACHLEAF ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147966",
            "telephone_number": "888-312-0127",
            "fax_number": "888-312-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2849 NEW BERN AVE",
            "address_2": "SUITE 112",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "888-312-0127",
            "fax_number": "888-312-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL INTEGRATIVE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "JAMILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-312-0127",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.