Organization Active NPI

Carociba Inc

  • Addiction Psychiatry Physician
  • Norfolk, NE
National Provider Identifier
1720329113
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
Legal business name
CAROCIBA INC
Practice address
710 S 13TH St
Ste 900
Norfolk, NE 68701-5792
Phone
(404) 324-0515
Fax
(402) 844-4114
NPI assigned
Mar 8, 2013
Organization subpart
Yes
Parent organization
CAROCIBA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Tayo Obatusin
Title
Owner
Phone
(404) 324-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0802X Primary

Addresses

Primary practice location

710 S 13TH St
Ste 900
Norfolk, NE 68701-5792

Mailing address

710 S 13TH St
Ste 900
Norfolk, NE 68701-5792
Phone (404) 324-0515

National Provider Directory

National Provider Directory
Part of
Carociba Inc

NPI Registry JSON

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1720329113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S 13TH ST",
            "address_2": "STE 900",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015792",
            "telephone_number": "404-324-0515",
            "fax_number": "402-844-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S 13TH ST",
            "address_2": "STE 900",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015792",
            "telephone_number": "404-324-0515",
            "fax_number": "402-844-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROCIBA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROCIBA INC",
        "enumeration_date": "2013-03-08",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "OBATUSIN",
        "authorized_official_first_name": "TAYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-324-0515"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.