NPIMap

Organization Active NPI

Universal Mhddsas

  • Community/Behavioral Health Agency
  • Morehead City, NC
National Provider Identifier
1881736825
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UNIVERSAL MHDDSAS
Practice address
3820 Bridges Street
Suite 8
Morehead City, NC 28557-2918
Phone
(252) 727-1669
Fax
(252) 727-4977
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Brook Phillips
Title
Director of Operations
Phone
(828) 759-4064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3820 Bridges Street
Suite 8
Morehead City, NC 28557-2918

Mailing address

839 Wilkesboro Blvd NE
Lenoir, NC 28645-4612
Phone (828) 759-2228

Other identifiers 3

IdentifierTypeStateIssuer
8301967GMedicaidNC
8301967BMedicaidNC
8301967MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Universal Mental Health Services Inc23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

3820 Bridges St
Ste 8
Morehead City, NC 28557
Phone (252) 727-1669

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1881736825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 WILKESBORO BLVD NE",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454612",
            "telephone_number": "828-759-2228",
            "fax_number": "828-759-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 BRIDGES STREET",
            "address_2": "SUITE 8",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572918",
            "telephone_number": "252-727-1669",
            "fax_number": "252-727-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL MHDDSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "BROOK",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "828-759-4064"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301967G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301967B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301967",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.