Active NPI
Cardinal Directions Behavioral Healthcare
- Community/Behavioral Health Agency
- Wilson, NC
National Provider Identifier
1962871798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CARDINAL DIRECTIONS BEHAVIORAL HEALTHCARE
- Practice address
- 2500 Nash St N
Wilson, NC 27896-1394 - Phone
- (919) 917-3488
- NPI assigned
- Sep 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danny Wamsley, LCAS-A, MS, APBS, NA
- Title
- Owner
- Phone
- (919) 917-0609
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Health Maintenance Organization | 302R00000X | |||
| Point of Service | 305S00000X |
Addresses
Primary practice location
2500 Nash St N
Wilson, NC 27896-1394
Mailing address
1300 Tribute Center Dr
Raleigh, NC 27612-3214
Phone (919) 917-0609
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043564271 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
2500 Nash St N
Wilson, NC 27896
Phone (919) 900-7438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487203200000",
"number": "1962871798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 TRIBUTE CENTER DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276123214",
"telephone_number": "919-917-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NASH ST N",
"city": "WILSON",
"state": "NC",
"postal_code": "278961394",
"telephone_number": "919-917-3488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDINAL DIRECTIONS BEHAVIORAL HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-22",
"last_updated": "2017-02-16",
"status": "A",
"authorized_official_last_name": "WAMSLEY",
"authorized_official_first_name": "DANNY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-917-0609",
"authorized_official_credential": "LCAS-A, MS, APBS, NA"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043564271",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.