NPIMap

Organization Active NPI

Johnston County Mental Health Center

  • Psychiatry Physician
  • Smithfield, NC
National Provider Identifier
1851410450
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JOHNSTON COUNTY MENTAL HEALTH CENTER
Practice address
521 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone
(919) 989-5500
Fax
(919) 989-5532
NPI assigned
Mar 28, 2007
Last updated
May 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Dr. Janis J Nutt, PH. D.
Title
Area Director
Phone
(919) 989-5500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

521 N Brightleaf Blvd
Smithfield, NC 27577-4407

Mailing address

PO Box 411
Smithfield, NC 27577-0411
Phone (919) 989-5500

Other identifiers 6

IdentifierTypeStateIssuer
6005572MedicaidNC
8301360MedicaidNC
5901802MedicaidNC
07116OtherNCBCBS-NC
3404930MedicaidNC
8301360BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Johnston County Mental Health Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1851410450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275770411",
            "telephone_number": "919-989-5500",
            "fax_number": "919-989-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-989-5500",
            "fax_number": "919-989-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON COUNTY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "NUTT",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "919-989-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005572",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301360",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901802",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-NC",
            "identifier": "07116",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404930",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301360B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.