NPIMap

Organization Active NPI

Fact Specialized Services, Inc.

  • Child & Adolescent Psychiatry Physician
  • Jacksonville, NC
National Provider Identifier
1871801787
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
33268 Issued in NC
Legal business name
FACT SPECIALIZED SERVICES, INC.
Practice address
127 Center St
Jacksonville, NC 28546-5708
Phone
(910) 346-3744
Fax
(910) 346-5344
NPI assigned
Sep 14, 2010
Last updated
Sep 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Lorna Kathleen Aschbrenner
Title
Director of Operations
Phone
(910) 346-3744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X 33268 NC Primary

Addresses

Primary practice location

127 Center St
Jacksonville, NC 28546-5708

Mailing address

127 Center St
Jacksonville, NC 28546-5708
Phone (910) 346-3744

National Provider Directory

National Provider Directory
Tax ID family
Fact Specialized Services Inc6 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.

Locations

127 Center St
Jacksonville, NC 28546
Phone (910) 219-8000

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1871801787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CENTER ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465708",
            "telephone_number": "910-346-3744",
            "fax_number": "910-346-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CENTER ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465708",
            "telephone_number": "910-346-3744",
            "fax_number": "910-346-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACT SPECIALIZED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "ASCHBRENNER",
        "authorized_official_first_name": "LORNA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "910-346-3744"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "33268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.