NPIMap

Organization Active NPI

Towergate Youth and Family Services, Inc.

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1801933528
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-060-822 Issued in NC
Legal business name
TOWERGATE YOUTH AND FAMILY SERVICES, INC.
Practice address
201 W Main St
Suite B16
Durham, NC 27701-3228
Phone
(704) 701-2123
Fax
(704) 793-1882
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Mr. Brad Joseph Lessane
Title
VP Finance
Phone
(704) 701-2123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-060-822 NC Primary

Addresses

Primary practice location

201 W Main St
Suite B16
Durham, NC 27701-3228

Mailing address

PO Box 822
Concord, NC 28026-0822
Phone (704) 701-2123

Other identifiers 2

IdentifierTypeStateIssuer
8301758BMedicaidNC
8301758GMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Towergate Youth and Family Services Inc8 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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1801933528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280260822",
            "telephone_number": "704-701-2123",
            "fax_number": "704-795-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "address_2": "SUITE B16",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013228",
            "telephone_number": "704-701-2123",
            "fax_number": "704-793-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWERGATE YOUTH AND FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "LESSANE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "704-701-2123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-060-822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301758B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301758G",
            "state": "NC"
        }
    ],
    "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 Sep 12, 2007; 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.