NPIMap

Organization Active NPI

Smoky Mountain Center for MH DD Sas

  • Community/Behavioral Health Agency
  • Waynesville, NC
National Provider Identifier
1790800225
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SMOKY MOUNTAIN CENTER FOR MH DD SAS
Practice address
91 Timberlane Rd
Waynesville, NC 28786-7927
Phone
(828) 586-5501
Fax
(828) 586-3965
NPI assigned
Mar 21, 2007
Last updated
Mar 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Mr. Thomas W. McDevitt
Title
Area Director
Phone
(828) 586-5501

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

91 Timberlane Rd
Waynesville, NC 28786-7927

Mailing address

44 Bonnie Lane
Sylva, NC 28779-8511
Phone (828) 586-5501

Other identifiers 2

IdentifierTypeStateIssuer
2801105DOtherNCMEDICARE
6005662MedicaidNC

Other names 1

  • Smoky Mountain Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Smoky Mountain Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1790800225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BONNIE LANE",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287798511",
            "telephone_number": "828-586-5501",
            "fax_number": "828-586-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 TIMBERLANE RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287867927",
            "telephone_number": "828-586-5501",
            "fax_number": "828-586-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOKY MOUNTAIN CENTER FOR MH DD SAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "MCDEVITT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "828-586-5501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2801105D",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005662",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smoky Mountain Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.