Organization Active NPI

Bddy NC LLC

  • Community/Behavioral Health Agency
  • Cary, NC
National Provider Identifier
1871370155
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BDDY NC LLC
Practice address
1391 Kildaire Farm Rd # 1078
Cary, NC 27511-5525
Phone
(516) 376-2055
NPI assigned
Sep 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Brian Goldman
Title
Coo
Phone
(516) 376-2055

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1391 Kildaire Farm Rd # 1078
Cary, NC 27511-5525

Mailing address

1820 Avenue M Ste 225
Brooklyn, NY 11230-5347

National Provider Directory

National Provider Directory

Locations

1391 Kildaire Farm Rd
Cary, NC 27511
Phone (516) 376-2055

Practitioners & affiliated clinicians

Practitioners 1

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": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1871370155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 AVENUE M STE 225",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 KILDAIRE FARM RD # 1078",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115525",
            "telephone_number": "516-376-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDDY NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "516-376-2055"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.