Organization Active NPI

Coastal Developmental Consulting

  • Community/Behavioral Health Agency
  • Hampstead, NC
National Provider Identifier
1740417054
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COASTAL DEVELOPMENTAL CONSULTING
Practice address
308 Grovediere Lane
Hampstead, NC 28443-2208
Phone
(910) 431-6418
Fax
(910) 270-0270
NPI assigned
Jun 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Authorized official

Name
Briana KellyNPI 1689815722
Title
Owner
Phone
(910) 270-0270

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 NC Primary

Addresses

Primary practice location

308 Grovediere Lane
Hampstead, NC 28443-2208

Mailing address

308 Grovediere Lane
Hampstead, NC 28443-2208

Other identifiers 1

IdentifierTypeStateIssuer
8302571MedicaidNC

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.

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1740417054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 GROVEDIERE LANE",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284432208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 GROVEDIERE LANE",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284432208",
            "telephone_number": "910-431-6418",
            "fax_number": "910-270-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL DEVELOPMENTAL CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "BRIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-270-0270"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302571",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.