Diverse Family Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVERSE FAMILY SERVICES

Practice address

2402 S Miami Blvd
Ste 108
Durham, NC 27703-4927

Phone

(919) 572-8833

Fax

(919) 572-0044

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Kristin M Jones, MPA

Title

Ceo

Phone

(919) 572-8833

Specialties & licenses 1

Addresses

Other identifiers 5

Tax ID family

Diverse Family Services2 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.

• Diverse Family Services

  • Exclusive Provider Organization
  • Durham, NC
  • NPI 1063690246
  NPD tax ID

Locations

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1780985523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 S MIAMI BLVD",
            "address_2": "STE 108",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277034927",
            "telephone_number": "919-572-8833",
            "fax_number": "919-572-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 S MIAMI BLVD",
            "address_2": "STE 108",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277034927",
            "telephone_number": "919-572-8833",
            "fax_number": "919-572-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-572-8833",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302285V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303051R",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914106",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302285H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006871",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Discover You, LLC
• Discovering Your Journey, PLLC
• Kyle Ditzian, BCBA
• Diverse Acceptance, Inc
• Diverse Family Services
• Diversified Multicultural Healthcare Research Services, Inc.
• Diversified Multicultural Healthcare Research Services, Inc.
• Divine Behavioral Health Solutions L.L.C.
• Divine Connection of Durham, LLC
• Divine Intervention

• 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 Nov 10, 2010; 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.