Central Carolina Psychotherapy, PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

9952 Issued in NC

Legal business name

CENTRAL CAROLINA PSYCHOTHERAPY, PLLC

Practice address

200 W Parkway Ave
High Point, NC 27262-3026

Phone

(336) 638-1374

Fax

(336) 887-4594

NPI assigned

Oct 18, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Frank Mullins, M.A., LPCNPI 1205274511

Title

Owner

Phone

(336) 638-1374

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank David Mullins, M.A., LCMHC

  • Professional Counselor
  • Sophia, NC
  • NPI 1205274511
  NPD (past) Authorized official
• Sean David Shobe, M.A. LPC

  • Professional Counselor
  • High Point, NC
  • NPI 1497165922
  NPD (past)
• Kimberly Beck Soban, PHD

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • High Point, NC
  • NPI 1407087018
  NPD (past)

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1760933360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W PARKWAY AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623026",
            "telephone_number": "336-638-1374",
            "fax_number": "336-887-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W PARKWAY AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623026",
            "telephone_number": "336-638-1374",
            "fax_number": "336-887-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CAROLINA PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-638-1374",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "9952",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NC",
            "license": "9952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Percy Thomas Causey Jr., MD
• Julina Cefaly
• Center for Holistic Healing PC
• Central Carolina Associates in Optometry PA
• Central Carolina Dermatology Clinic, Inc
• Century Medical Supplies, Inc.
• Kelly Ann Chaballa
• Nicolai Chalfa, MD
• Venkata Ramana Challa, MD
• Challenge 2 Change Transition Services, PLLC

• Adolescent and Children Mental Health Clinic/Center in High Point, NC
• Providers in High Point, NC by specialty
• Adolescent and Children Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.