NPIMap

Organization Active NPI

Chaparral Youth Services

  • Community/Behavioral Health Agency
  • Pembroke, NC
National Provider Identifier
1982834073
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-078-170 Issued in NC
Legal business name
CHAPARRAL YOUTH SERVICES
Practice address
56 Three Hunts Dr
Pembroke, NC 28372-8998
Phone
(910) 827-1169
NPI assigned
Jul 23, 2009
Last updated
Jul 23, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CHAPARRAL YOUTH SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Sheree L. SampsonNPI 1912378993
Title
Owner
Phone
(910) 827-1169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-078-170 NC Primary

Addresses

Primary practice location

56 Three Hunts Dr
Pembroke, NC 28372-8998

Mailing address

56 Three Hunts Dr
Pembroke, NC 28372-8998
Phone (910) 827-1169

National Provider Directory

National Provider Directory
Tax ID family
Chaparral Youth Services5 organizations share this tax ID, including this one
Part of
Chaparral Youth Services

Other organizations with this tax ID 4

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

Locations

56 Three Hunts Dr
Pembroke, NC 28372
Phone (910) 521-7288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1982834073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 THREE HUNTS DR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728998",
            "telephone_number": "910-827-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 THREE HUNTS DR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728998",
            "telephone_number": "910-827-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPARRAL YOUTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHAPARRAL YOUTH SERVICES, LLC",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-827-1169"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-078-170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.