Organization Active NPI

Cardinal Directions Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Wilson, NC
National Provider Identifier
1962871798
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Feb 16, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1043564271MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.