Concern of Durham, Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

032-054 & 032-016 Issued in NC

Legal business name

CONCERN OF DURHAM, INC

Practice address

3001 Academy Rd
Suite 230
Durham, NC 27707-2660

Phone

(919) 489-5652

Fax

(919) 490-6288

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Gail Diane Yashar, LCSW, MS

Title

Executive Director

Phone

(919) 489-5652

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1811050982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 ACADEMY RD",
            "address_2": "230",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072660",
            "telephone_number": "919-489-5652",
            "fax_number": "919-490-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 ACADEMY RD",
            "address_2": "SUITE 230",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072660",
            "telephone_number": "919-489-5652",
            "fax_number": "919-490-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERN OF DURHAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "YASHAR",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-489-5652",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, MS"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "032-054 & 032-016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER NU",
            "identifier": "320942",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MH PROVIDER #",
            "identifier": "MHL-032-016",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSS PROVIDER NUMBER",
            "identifier": "H22001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSS PROVIDER NUMBER",
            "identifier": "H22002",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603008",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0176M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH PROVIDER #",
            "identifier": "MHL-032-054",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603009",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Concertocare Medical Group of North Carolina, PC
• Conducive Solutions, Inc.
• Catherine Mary Cone, MHS, PA-C
• Christina K Cone, NP
• Mellisa Sue Conerly, PA-C

• Emotionally Disturbed Childrens' Residential Treatment Facility in Durham, NC
• Providers in Durham, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.