Niblock Jack Professional Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

714 Issued in NC

Legal business name

NIBLOCK JACK PROFESSIONAL SERVICES

Practice address

5 Sandstone Ridge CT
Durham, NC 27713-9340

Phone

(919) 237-2086

NPI assigned

Mar 2, 2009

Last updated

Mar 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Katherine Grace NiblockNPI 1275636466

Title

Manager

Phone

(919) 237-2086

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Niblock, LMFT

  • Marriage & Family Therapist
  • Durham, NC
  • NPI 1275636466
  NPD (past) Authorized official

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1801036066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SANDSTONE RIDGE CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SANDSTONE RIDGE CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139340",
            "telephone_number": "919-237-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIBLOCK JACK PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "NIBLOCK",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-237-2086",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6105078",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda Phuong Nguyen, PHARMD
• Thai Nguyen, M.D.
• Tran Nguyen
• Vu Q Nguyen, M.D.
• Cherry Nhor, PA-C
• Katherine Niblock, LMFT
• Matilda W Nicholas, MD
• Peter C Nicholas, MD PHD
• Rachel Nicholas, FDN-P, IHP, CPT
• Christopher Lewis Nicholls, CRNA

• 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 Mar 2, 2009; 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.