School Health Alliance for Forsyth County

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

SCHOOL HEALTH ALLIANCE FOR FORSYTH COUNTY

Practice address

4555 Ogburn Ave
Winston Salem, NC 27105-2726

Phone

(336) 703-4273

Fax

(336) 661-4954

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy Bradshaw

Title

Office Manager

Phone

(336) 713-7188

Specialties & licenses 2

Addresses

Other identifiers 3

Tax ID family

School Health Alliance for Forsyth County2 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.

• School Health Alliance for Forsyth County

  • Student Health Clinic/Center
  • Winston Salem, NC
  • NPI 1831439637
  NPD tax ID

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1982732269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "address_2": "WFBH-SCHOOL HEALTH ALLIANCE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-713-7188",
            "fax_number": "336-713-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 OGBURN AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271052726",
            "telephone_number": "336-703-4273",
            "fax_number": "336-661-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL HEALTH ALLIANCE FOR FORSYTH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-713-7188",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005804",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - BLUE SHIELD",
            "identifier": "011N0",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A9495",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen Natal Schneider, LCSW
• Kirsten Leann Schneider, PA
• Nicholas Roth Schoenbachler, M.D.
• Tara Laurae Schoenbeck, APRN
• School Health Alliance for Forsyth County
• Schools for Children
• Kirsten Lee Schoonmaker-Bryant, LPC
• David Schreiner
• Elissa M Schroeder, PH.D.
• Zachary Thomas Schroeder, MD

• Adolescent and Children Mental Health Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Adolescent and Children Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.