NPIMap

Organization Active NPI

Vision Behavioral Health Services

  • Psychiatry Physician
  • Kernersville, NC
National Provider Identifier
1790004208
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200201030 Issued in NC
Legal business name
VISION BEHAVIORAL HEALTH SERVICES
Practice address
495 Arbor Hill Rd
Suite E
Kernersville, NC 27284-3374
Phone
(336) 992-0429
Fax
(336) 993-3709
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Ms. Sharon Elizabeth Garrett, M.ED.
Title
Chief Operating Officer
Phone
(336) 992-0429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 200201030 NC Primary

Addresses

Primary practice location

495 Arbor Hill Rd
Suite E
Kernersville, NC 27284-3374

Mailing address

495 Arbor Hill Rd
Suite E
Kernersville, NC 27284-3374
Phone (336) 992-0429

Other identifiers 4

IdentifierTypeStateIssuer
6006049MedicaidNC
6006273MedicaidNC
3418036MedicaidNC
8301200MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Vision Behavioral Health Services13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1790004208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 ARBOR HILL RD",
            "address_2": "SUITE E",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843374",
            "telephone_number": "336-992-0429",
            "fax_number": "336-993-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 ARBOR HILL RD",
            "address_2": "SUITE E",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843374",
            "telephone_number": "336-992-0429",
            "fax_number": "336-993-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "336-992-0429",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200201030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006049",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006273",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418036",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301200",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.