NPIMap

Organization Active NPI

Paradigm, Inc.

  • Community/Behavioral Health Agency
  • Winterville, NC
National Provider Identifier
1811240344
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL098180 Issued in NC
Legal business name
PARADIGM, INC.
Practice address
4558 Reedy Branch Rd
Winterville, NC 28590-8925
Phone
(252) 561-8112
Fax
(252) 561-7455
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Authorized official

Name
Jason Barnett, RN
Title
Ceo
Phone
(252) 561-8112

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL098180 NC Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-098-180 NC

Addresses

Primary practice location

4558 Reedy Branch Rd
Winterville, NC 28590-8925

Mailing address

PO Box 31091
Greenville, NC 27833-1091
Phone (252) 561-8112

Other identifiers 1

IdentifierTypeStateIssuer
3408149MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Paradigm Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1811240344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31091",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278331091",
            "telephone_number": "252-561-8112",
            "fax_number": "252-561-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4558 REEDY BRANCH RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908925",
            "telephone_number": "252-561-8112",
            "fax_number": "252-561-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-561-8112",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL098180",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-098-180",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408149",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.