NPIMap

Organization Active NPI

Structured Family Interventions, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1710289541
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STRUCTURED FAMILY INTERVENTIONS, LLC
Practice address
6011 Fayetteville Rd
Suite 104-C
Durham, NC 27713-6248
Phone
(919) 416-0800
Fax
(919) 416-0804
NPI assigned
Nov 30, 2010
Last updated
Jan 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Mr. Dorian Locklear
Title
Executive Director
Phone
(919) 416-0800

Specialties & licenses 1

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

Addresses

Primary practice location

6011 Fayetteville Rd
Suite 104-C
Durham, NC 27713-6248

Mailing address

6011 Fayetteville Rd
Suite 104-C
Durham, NC 27713-6248
Phone (919) 416-0800

Other identifiers 4

IdentifierTypeStateIssuer
3410105MedicaidNC
8302972MedicaidNC
5950736MedicaidNC
6008042MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Structured Family Interventions LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6011 Fayetteville Rd
Ste 104C
Durham, NC 27713
Phone (919) 416-0800

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1710289541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 FAYETTEVILLE RD",
            "address_2": "SUITE 104-C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136248",
            "telephone_number": "919-416-0800",
            "fax_number": "919-416-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 FAYETTEVILLE RD",
            "address_2": "SUITE 104-C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136248",
            "telephone_number": "919-416-0800",
            "fax_number": "919-416-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRUCTURED FAMILY INTERVENTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "DORIAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-416-0800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410105",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302972",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950736",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008042",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.