NPIMap

Organization Active NPI

Carter Clinic, PA

  • Mental Illness Community Based Residential Treatment Facility
  • Red Springs, NC
National Provider Identifier
1821562224
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CARTER CLINIC, PA
Practice address
703 W 3Rd Ave BLDG a
Red Springs, NC 28377-1524
Phone
(910) 491-2352
Fax
(910) 491-2383
NPI assigned
Jan 18, 2019
Last updated
Dec 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Myleme Ojina HarrisonNPI 1164477691
Title
Ceo
Phone
(919) 848-0132

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU

Addresses

Primary practice location

703 W 3Rd Ave BLDG a
Red Springs, NC 28377-1524

Mailing address

PO Box 99778
Raleigh, NC 27624-9778
Phone (919) 848-0132

National Provider Directory

National Provider Directory
Tax ID family
Carter Clinic PA16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

703 W 3rd Ave
Bldg A
Red Springs, NC 28377
Phone (910) 491-2352

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1821562224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99778",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276249778",
            "telephone_number": "919-848-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 W 3RD AVE BLDG A",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283771524",
            "telephone_number": "910-491-2352",
            "fax_number": "910-491-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MYLEME",
        "authorized_official_middle_name": "OJINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-848-0132"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.