NPIMap

Organization Active NPI

Behavioral Health Solutions, PA

  • Clinical Psychologist
  • Durham, NC
National Provider Identifier
1831130046
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2693 Issued in NC
Legal business name
BEHAVIORAL HEALTH SOLUTIONS, PA
Practice address
1415 Highway 54 West
Suite 111
Durham, NC 27707-5597
Phone
(919) 419-0524
Fax
(919) 419-9651
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Keith R Hersh, PHDNPI 1942216148
Title
Vice President
Phone
(919) 419-0524

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2693 NC Primary

Addresses

Primary practice location

1415 Highway 54 West
Suite 111
Durham, NC 27707-5597

Mailing address

1415 Highway 54 West
Suite 111
Durham, NC 27707-5597
Phone (919) 419-0524

Other identifiers 1

IdentifierTypeStateIssuer
6000480MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120919000686 NC Part B Supplier - Clinic/Group Practice 8921256769 Receives reassigned benefits from 3 practitioners
Practice locations: Durham, NC

National Provider Directory

National Provider Directory

Locations

5318 Highgate Dr
Ste 131
Durham, NC 27713
Phone (919) 419-0524

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831130046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 54 WEST",
            "address_2": "SUITE 111",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075597",
            "telephone_number": "919-419-0524",
            "fax_number": "919-419-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 54 WEST",
            "address_2": "SUITE 111",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075597",
            "telephone_number": "919-419-0524",
            "fax_number": "919-419-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH SOLUTIONS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERSH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "919-419-0524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000480",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.