Active NPI
Amw Foundation
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Raleigh, NC
National Provider Identifier
1760528772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- AMW FOUNDATION
- Practice address
- 3209 Gresham Lake Rd
113
Raleigh, NC 27615-4151 - Phone
- (919) 850-2155
- Fax
- (919) 850-2353
- NPI assigned
- Jan 29, 2007
- Last updated
- Nov 5, 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
- Mr. Chet West
- Title
- Director of Operations
- Phone
- (919) 899-6740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
3209 Gresham Lake Rd
113
Raleigh, NC 27615-4151
Mailing address
3209 Gresham Lake Rd
113
Raleigh, NC 27615-3757
Phone (919) 850-2155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005692 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Amw Foundation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Raleigh, NC
- NPI 1538478268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352073600000",
"number": "1760528772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3209 GRESHAM LAKE RD",
"address_2": "113",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153757",
"telephone_number": "919-850-2155",
"fax_number": "919-850-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 GRESHAM LAKE RD",
"address_2": "113",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276154151",
"telephone_number": "919-850-2155",
"fax_number": "919-850-2353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMW FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2012-11-05",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "CHET",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "919-899-6740",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005692",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.