Active NPI
Zoofari Kids, LLC
- Community/Behavioral Health Agency
- Durham, NC
National Provider Identifier
1750643086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ZOOFARI KIDS, LLC
- Practice address
- 1426 E NC Highway 54
Durham, NC 27713-2469 - Phone
- (919) 697-6957
- NPI assigned
- Jun 12, 2012
- 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
- Tony Fozard
- Title
- Officer
- Phone
- (919) 697-6957
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Psychiatry Physician | 2084P0800X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1426 E NC Highway 54
Durham, NC 27713-2469
Mailing address
1426 E NC Highway 54
Durham, NC 27713-2469
Phone (919) 697-6957
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339459200000",
"number": "1750643086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 E NC HIGHWAY 54",
"city": "DURHAM",
"state": "NC",
"postal_code": "277132469",
"telephone_number": "919-697-6957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1426 E NC HIGHWAY 54",
"city": "DURHAM",
"state": "NC",
"postal_code": "277132469",
"telephone_number": "919-697-6957"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZOOFARI KIDS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-12",
"last_updated": "2012-06-12",
"status": "A",
"authorized_official_last_name": "FOZARD",
"authorized_official_first_name": "TONY",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "919-697-6957"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.