NPIMap

Organization Active NPI

St. Gerard House

  • Behavior Analyst
  • Hendersonville, NC
National Provider Identifier
1962813634
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-09-5881 Issued in NC
Legal business name
ST. GERARD HOUSE
Practice address
620 Oakland St
Hendersonville, NC 28791-3646
Phone
(828) 693-4223
Fax
(828) 693-6144
NPI assigned
May 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Ms. Caroline Long
Title
Executive Director
Phone
(828) 693-4223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-09-5881 NC Primary

Addresses

Primary practice location

620 Oakland St
Hendersonville, NC 28791-3646

Mailing address

620 Oakland St
Hendersonville, NC 28791-3646
Phone (828) 693-4223

Other identifiers 1

IdentifierTypeStateIssuer
1972934974OtherNCNPI

National Provider Directory

National Provider Directory
Tax ID family
St Gerard House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1962813634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 OAKLAND ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913646",
            "telephone_number": "828-693-4223",
            "fax_number": "828-693-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 OAKLAND ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913646",
            "telephone_number": "828-693-4223",
            "fax_number": "828-693-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. GERARD HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-693-4223",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-09-5881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972934974",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.