NPIMap

Organization Active NPI

Cambridge Day

  • Community/Behavioral Health Agency
  • Greenville, NC
National Provider Identifier
1740341809
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
COO1908 Issued in NC
Legal business name
CAMBRIDGE DAY
Practice address
1705 W 6TH St
Greenville, NC 27834-2829
Phone
(252) 353-4250
Fax
(252) 353-4228
NPI assigned
Dec 13, 2006
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
Mrs. Hattie Faye Bordeaux, LCSWNPI 1801997531
Title
Clinical Director
Phone
(252) 353-4250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X COO1908 NC Primary

Addresses

Primary practice location

1705 W 6TH St
Greenville, NC 27834-2829

Mailing address

622 S Memorial Dr
Greenville, NC 27834-2854
Phone (252) 353-4250

Other identifiers 1

IdentifierTypeStateIssuer
8300611RMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Cambridge Behavioral Health Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740341809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 S MEMORIAL DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342854",
            "telephone_number": "252-353-4250",
            "fax_number": "252-353-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W 6TH ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342829",
            "telephone_number": "252-353-4250",
            "fax_number": "252-353-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE DAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORDEAUX",
        "authorized_official_first_name": "HATTIE",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "252-353-4250",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "COO1908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300611R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, 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.