NPIMap

Organization Active NPI

Fayetteville VA Medical Cener

  • Psychiatric Hospital
  • Spring Lake, NC
National Provider Identifier
1881085264
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
PS017236 Issued in PA
Legal business name
FAYETTEVILLE VA MEDICAL CENER
Practice address
1111 Shell Dr
Apt 60
Spring Lake, NC 28390-2050
Phone
(910) 488-2120
NPI assigned
Feb 6, 2015
Organization subpart
Yes
Parent organization
VETERAN'S ADMISTRATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Dr. Yoshiko Yamamoto, PHD
Title
Psychologist
Phone
(910) 488-2120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X PS017236 PA Primary

Addresses

Primary practice location

1111 Shell Dr
Apt 60
Spring Lake, NC 28390-2050

Mailing address

1111 Shell Dr
Apt 60
Spring Lake, NC 28390-2050
Phone (910) 488-2120

National Provider Directory

National Provider Directory
Tax ID family
McDonald Army Health Care Center200 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 9

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1881085264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SHELL DR",
            "address_2": "APT 60",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283902050",
            "telephone_number": "910-488-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SHELL DR",
            "address_2": "APT 60",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283902050",
            "telephone_number": "910-488-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTEVILLE VA MEDICAL CENER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VETERAN'S ADMISTRATION",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "YAMAMOTO",
        "authorized_official_first_name": "YOSHIKO",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "910-488-2120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "PA",
            "license": "PS017236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.