NPIMap

Organization Active NPI

University of North Carolina at Chapel Hill

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1891120499
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-068-107 Issued in NC
Legal business name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Practice address
107 Sunnybrook Rd RM 202
Raleigh, NC 27610-1827
Phone
(919) 966-9803
NPI assigned
Sep 13, 2013
Last updated
Mar 5, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Dr. Hendree Jones, PHD
Title
Director
Phone
(919) 966-9803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-068-107 NC Primary

Addresses

Primary practice location

107 Sunnybrook Rd RM 202
Raleigh, NC 27610-1827

Mailing address

410 N Greensboro St
Suite 220
Carrboro, NC 27510-1870
Phone (919) 966-9803

Other names 1

  • UNC Horizons at Wake Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160330002274 NC Part B Supplier - Clinic/Group Practice 6507046844 Receives reassigned benefits from 2 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chapel Hill, NC; Raleigh, NC

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Center for Maternal Infant Health30 organizations share this tax ID, including this one
Part of
Center for Maternal Infant Health

Other organizations with this tax ID 29

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

View all 29

Locations

107 Sunnybrook Rd
Rm 202
Raleigh, NC 27610

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1891120499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N GREENSBORO ST",
            "address_2": "SUITE 220",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101870",
            "telephone_number": "919-966-9803",
            "fax_number": "919-966-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SUNNYBROOK RD RM 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101827",
            "telephone_number": "919-966-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL",
        "enumeration_date": "2013-09-13",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "HENDREE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-966-9803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-068-107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNC Horizons at Wake",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "UNC Horizons at Wake",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.