NPIMap

Organization Active NPI

Madison Community Alternatives, Inc.

  • Psychoanalysis Psychologist
  • Graham, NC
National Provider Identifier
1962681924
Registry record updated Feb 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
Legal business name
MADISON COMMUNITY ALTERNATIVES, INC.
Practice address
148 S Main St
Graham, NC 27253-2808
Phone
(336) 392-8775
Fax
(336) 854-4452
NPI assigned
Oct 26, 2007
Last updated
Feb 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2009

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

Authorized official

Name
Sabrina Betts
Title
Ceo
Phone
(336) 392-8775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalysis Psychologist 103TP0814X NU Primary

Addresses

Primary practice location

148 S Main St
Graham, NC 27253-2808

Mailing address

PO Box 13245
Greensboro, NC 27415-3245
Phone (336) 392-8775

National Provider Directory

National Provider Directory
Tax ID family
Madison Community Alternatives Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

148 S Main St
Graham, NC 27253
Phone (336) 392-8775

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233446400000",
    "number": "1962681924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13245",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274153245",
            "telephone_number": "336-392-8775",
            "fax_number": "336-854-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 S MAIN ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272532808",
            "telephone_number": "336-392-8775",
            "fax_number": "336-854-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COMMUNITY ALTERNATIVES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2009-02-01",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-392-8775"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2009; 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.