NPIMap

Organization Active NPI

Early Adolescent Intervention Services

  • Community/Behavioral Health Agency
  • Greenville, NC
National Provider Identifier
1740415637
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EARLY ADOLESCENT INTERVENTION SERVICES
Practice address
3175 Boardwalk LN
Apt. 6
Greenville, NC 27834-6196
Phone
(252) 258-3000
NPI assigned
May 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Ms. Shamelya England
Title
Director/Ceo
Phone
(252) 258-3000

Specialties & licenses 1

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

Addresses

Primary practice location

3175 Boardwalk LN
Apt. 6
Greenville, NC 27834-6196

Mailing address

3175 Boardwalk LN
Apt. 6
Greenville, NC 27834-6196
Phone (252) 258-3000

National Provider Directory

National Provider Directory
Tax ID family
Early Adolescent Intervention Services2 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.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1740415637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 BOARDWALK LN",
            "address_2": "APT. 6",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346196",
            "telephone_number": "252-258-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 BOARDWALK LN",
            "address_2": "APT. 6",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346196",
            "telephone_number": "252-258-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY ADOLESCENT INTERVENTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "ENGLAND",
        "authorized_official_first_name": "SHAMELYA",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "252-258-3000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 12, 2014; 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.