Active NPI
Coastal Developmental Consulting
- Community/Behavioral Health Agency
- Hampstead, NC
National Provider Identifier
1740417054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Briana Kelly
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8302571 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Hampstead, NC
- NPI 1689815722
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.