NPIMap

Organization Active NPI

Coastal Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Washington, NC
National Provider Identifier
1720209562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COASTAL BEHAVIORAL HEALTHCARE
Practice address
1005 Brown St
Washington, NC 27889-4670
Phone
(252) 946-8240
Fax
(252) 946-8249
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Daphne Betts-Hemby, MBA
Title
Ceo
Phone
(252) 946-8240

Specialties & licenses 1

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

Addresses

Primary practice location

1005 Brown St
Washington, NC 27889-4670

Mailing address

1005 Brown St
Washington, NC 27889-4670
Phone (252) 946-8240

Other identifiers 1

IdentifierTypeStateIssuer
8300906BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Coastal Behavioral Healthcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1005 Brown St
Washington, NC 27889
Phone (252) 946-8240

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720209562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BROWN ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894670",
            "telephone_number": "252-946-8240",
            "fax_number": "252-946-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BROWN ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894670",
            "telephone_number": "252-946-8240",
            "fax_number": "252-946-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BETTS-HEMBY",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-946-8240",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300906B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.