NPIMap

Organization Active NPI

Triad Therapy Mental Health Center, LLC

  • Psychiatry Physician
  • Asheboro, NC
National Provider Identifier
1922323641
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TRIAD THERAPY MENTAL HEALTH CENTER, LLC
Practice address
131B Davis St
Asheboro, NC 27203-5470
Phone
(336) 629-7774
Fax
(336) 629-7776
NPI assigned
Apr 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Dr. Quincy Smiling
Title
President/Ceo
Phone
(336) 629-7774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

131B Davis St
Asheboro, NC 27203-5470

Mailing address

131B Davis St
Asheboro, NC 27203-5470
Phone (336) 629-7774

Other identifiers 2

IdentifierTypeStateIssuer
8302314BMedicaidNC
8302846BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Triad Therapy Mental Health Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

131B Davis St
Asheboro, NC 27203
Phone (336) 629-7774

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1922323641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131B DAVIS ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035470",
            "telephone_number": "336-629-7774",
            "fax_number": "336-629-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131B DAVIS ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035470",
            "telephone_number": "336-629-7774",
            "fax_number": "336-629-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD THERAPY MENTAL HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "SMILING",
        "authorized_official_first_name": "QUINCY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "336-629-7774",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302314B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302846B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.