NPIMap

Organization Active NPI

New Hanover County Juvenile Day Treatment Center

  • Community/Behavioral Health Agency
  • Wilmington, NC
National Provider Identifier
1891813275
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-065-153 Issued in NC
Legal business name
NEW HANOVER COUNTY JUVENILE DAY TREATMENT CENTER
Practice address
718 S 3Rd St
Wilmington, NC 28401-5124
Phone
(910) 798-6460
Fax
(910) 798-6481
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Anthony Ranalli
Title
Director
Phone
(910) 798-6462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-065-153 NC Primary

Addresses

Primary practice location

718 S 3Rd St
Wilmington, NC 28401-5124

Mailing address

718 S 3Rd St
Wilmington, NC 28401-5124
Phone (910) 798-6460

Other identifiers 2

IdentifierTypeStateIssuer
8301204RMedicaidNC
8301204GMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
New Hanover Co HLTH Dept10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

718 S 3rd St
Wilmington, NC 28401
Phone (910) 798-6460

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891813275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 S 3RD ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284015124",
            "telephone_number": "910-798-6460",
            "fax_number": "910-798-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 S 3RD ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284015124",
            "telephone_number": "910-798-6460",
            "fax_number": "910-798-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HANOVER COUNTY JUVENILE DAY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RANALLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-798-6462",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-065-153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301204R",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301204G",
            "state": "NC"
        }
    ],
    "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 Aug 22, 2020; 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.