Center for Behavior and Social Change, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CENTER FOR BEHAVIOR AND SOCIAL CHANGE, INC.

Practice address

4304 Forest Edge TRL
Durham, NC 27705-7346

Phone

(919) 270-3232

Fax

(919) 287-2305

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Keith Edward Green, M.ED, ABD, QMHP, QDD

Title

Executive Director

Phone

(919) 270-3232

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CBSC Other name

Tax ID family

CBSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Center for Behavior and Social Change, Inc.

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1356510523
  NPD tax ID

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780743864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 FOREST EDGE TRL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277057346",
            "telephone_number": "919-270-3232",
            "fax_number": "919-287-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 FOREST EDGE TRL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277057346",
            "telephone_number": "919-270-3232",
            "fax_number": "919-287-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BEHAVIOR AND SOCIAL CHANGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-270-3232",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED, ABD, QMHP, QDD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300938B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CBSC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Celebrity Therapeutic Services,PLLC
• Andriana Cellini
• Linda Carime Cendales, M.D.
• Sarah Christine Cengel
• Center for Behavior and Social Change, Inc.
• Center for Child and Family Health
• Center for Health and Emotional Wellness, PLLC
• Center for Joyful Eating Inc.
• Center for Neuropsychiatry and Brain Stimulation (CNBS) PLLC
• Center for Orthotic and Prosthetic Care of North Carolina Inc

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.