CB Recovery Services, LLC

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

Legal business name

CB RECOVERY SERVICES, LLC

Practice address

21 Anna Drive
Suite 105 and 106
Clayton, NC 27520-2181

Phone

(919) 585-5020

Fax

(919) 550-5175

NPI assigned

Apr 25, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Eugenia Valisha Davis, LPC, LCAS

Title

Program Director

Phone

(919) 585-4486

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

CB Recovery Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• CB Recovery Associates, LLC

  • Community/Behavioral Health Agency
  • Clayton, NC
  • NPI 1659653053
  NPD tax ID

Locations

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811255037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 TOWN CENTRE BLVD",
            "address_2": "SUITE 120",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202181",
            "telephone_number": "919-585-5020",
            "fax_number": "919-550-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ANNA DRIVE",
            "address_2": "SUITE 105 AND 106",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202181",
            "telephone_number": "919-585-5020",
            "fax_number": "919-550-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CB RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "EUGENIA",
        "authorized_official_middle_name": "VALISHA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "919-585-4486",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LCAS"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303420P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303420Q",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303420",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Carreon, RN, IBCLC
• Rebeca Carro
• Craig Steven Carter, MD
• Cary Orthopaedic and Sports Medicine Specialists, P.a.
• CB Recovery Associates, LLC
• Cedar Creek Medical Group
• Artenida Cela, RD/LDN
• Center for Orthotic and Prosthetic Care of North Carolina, Inc
• Centered Chiropractic PA
• Beth M Cerrito-Cohen, PH.D.

• Prescribing (Medical) Psychologist in Clayton, NC
• Providers in Clayton, NC by specialty
• Prescribing (Medical) Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.