NPIMap

Organization Active NPI

Center for Pediatric Behavioral Health

  • Clinical Child & Adolescent Psychologist
  • Wilmington, NC
National Provider Identifier
1871962415
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
4446 Issued in NC
Legal business name
CENTER FOR PEDIATRIC BEHAVIORAL HEALTH
Practice address
720 Saint James Dr
Wilmington, NC 28403-2937
Phone
(910) 232-3624
NPI assigned
Sep 24, 2015
Last updated
Dec 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
Melanie Hope Bachmeyer-Lee, PHD, LP, BCBA-DNPI 1124490651
Title
President/Ceo & Psychologist
Phone
(910) 962-2948

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 4446 NC Primary
Behavior Analyst 103K00000X 4446 NC

Addresses

Primary practice location

720 Saint James Dr
Wilmington, NC 28403-2937

Mailing address

601 S College Rd
Uncw Station CB #20036
Wilmington, NC 28407
Phone (910) 232-3624

National Provider Directory

National Provider Directory

Locations

3360 Jaeckle Dr
Ste 120
Wilmington, NC 28403
Phone (910) 660-8200

601 S College Rd
#20036
Wilmington, NC 28403

720 Saint James Dr
Wilmington, NC 28403
Phone (910) 660-8200

Practitioners & affiliated clinicians

Practitioners 86

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 86

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1871962415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S COLLEGE RD",
            "address_2": "UNCW STATION CB #20036",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28407",
            "telephone_number": "910-232-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SAINT JAMES DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032937",
            "telephone_number": "910-232-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PEDIATRIC BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "BACHMEYER-LEE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "PRESIDENT/CEO & PSYCHOLOGIST",
        "authorized_official_telephone_number": "910-962-2948",
        "authorized_official_credential": "PHD, LP, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "4446",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "4446",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.