NPIMap

Organization Active NPI

Unlimited Opportunities, LLC

  • Psychiatry Physician
  • Winston Salem, NC
National Provider Identifier
1780992933
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9901371 Issued in NC
Legal business name
UNLIMITED OPPORTUNITIES, LLC
Practice address
4401 North Cherry Street
Ste 60
Winston Salem, NC 27105-2500
Phone
(336) 760-8800
Fax
(336) 765-0100
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Nicole L Drake
Title
Owner
Phone
(336) 760-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 9901371 NC Primary

Addresses

Primary practice location

4401 North Cherry Street
Ste 60
Winston Salem, NC 27105-2500

Mailing address

4401 North Cherry Street
Ste 60
Winston Salem, NC 27105-2500
Phone (336) 760-8800

National Provider Directory

National Provider Directory
Tax ID family
Unlimited Opportunities LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1780992933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 NORTH CHERRY STREET",
            "address_2": "STE 60",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271052500",
            "telephone_number": "336-760-8800",
            "fax_number": "336-765-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 NORTH CHERRY STREET",
            "address_2": "STE 60",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271052500",
            "telephone_number": "336-760-8800",
            "fax_number": "336-765-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED OPPORTUNITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-760-8800"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "9901371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

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