NPIMap

Organization Active NPI

Genesis Developmental and Psychological Services

Doing business as Genesis Early Childhood Services

  • Counselor
  • Fayetteville, NC
National Provider Identifier
1730518010
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
GENESIS DEVELOPMENTAL AND PSYCHOLOGICAL SERVICES
Doing business as
Genesis Early Childhood Services
Practice address
634 Randinita Dr
Fayetteville, NC 28311-2550
Phone
(910) 229-7787
NPI assigned
Nov 6, 2013
Last updated
Nov 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Ms. Robin Lynette HarrisNPI 1225357932
Title
Behavior Specialist
Phone
(910) 229-7787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

634 Randinita Dr
Fayetteville, NC 28311-2550

Mailing address

634 Randinita Dr
Fayetteville, NC 28311-2550
Phone (910) 229-7787

Other names 1

  • Genesis Early Childhood Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1730518010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 RANDINITA DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283112550",
            "telephone_number": "910-229-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 RANDINITA DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283112550",
            "telephone_number": "910-229-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS DEVELOPMENTAL AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "BEHAVIOR SPECIALIST",
        "authorized_official_telephone_number": "910-229-7787",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Early Childhood Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.