Organization Active NPI

CBT Institute of North Carolina

  • Adult Mental Health Clinic/Center
  • Durham, NC
National Provider Identifier
1801429808
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CBT INSTITUTE OF NORTH CAROLINA
Practice address
2215 Gentry Dr
Durham, NC 27705-2317
Phone
(919) 768-2627
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Caitlin Fang, PH.D.NPI 1902436496
Title
Member
Phone
(919) 768-2627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2215 Gentry Dr
Durham, NC 27705-2317

Mailing address

2215 Gentry Dr
Durham, NC 27705-2317
Phone (919) 768-2627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200326000554 NC Part B Supplier - Clinic/Group Practice 3971932971 Receives reassigned benefits from 1 practitioner
Practice locations: Durham, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1801429808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 GENTRY DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052317",
            "telephone_number": "919-768-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 GENTRY DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052317",
            "telephone_number": "919-768-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBT INSTITUTE OF NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "919-768-2627",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.