NPIMap

Organization Active NPI

Advanced Health Resources

  • Psychiatry Physician
  • Carrboro, NC
National Provider Identifier
1871783894
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ADVANCED HEALTH RESOURCES
Practice address
N Carr Mill Mall
200 N Greensboro St Ste C-6
Carrboro, NC 27510-1833
Phone
(919) 960-2711
Fax
(919) 960-2799
NPI assigned
Jul 26, 2007
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Alfred Potter
Title
Administrator
Phone
(919) 465-3277

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

N Carr Mill Mall
200 N Greensboro St Ste C-6
Carrboro, NC 27510-1833

Mailing address

1218 Copeland Oaks Dr
Morrisville, NC 27560-6614
Phone (919) 465-3277

Other identifiers 1

IdentifierTypeStateIssuer
5907267MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Advanced Health Resources41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1871783894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 COPELAND OAKS DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606614",
            "telephone_number": "919-465-3277",
            "fax_number": "919-465-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N CARR MILL MALL",
            "address_2": "200 N GREENSBORO ST STE C-6",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101833",
            "telephone_number": "919-960-2711",
            "fax_number": "919-960-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-465-3277"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907267",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.