NPIMap

Organization Active NPI

Carolinas Cognitive Care, Inc.

  • Occupational Therapist
  • Boone, NC
National Provider Identifier
1992851356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CAROLINAS COGNITIVE CARE, INC.
Practice address
207 Sunburst LN
Boone, NC 28607-6438
Phone
(828) 264-1545
Fax
(828) 262-5680
NPI assigned
Jan 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Bruce Callahan, BSW, MPA
Title
Chairman
Phone
(828) 264-1545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

207 Sunburst LN
Boone, NC 28607-6438

Mailing address

PO Box 1328
Boone, NC 28607-1328
Phone (828) 264-1545

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992851356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286071328",
            "telephone_number": "828-264-1545",
            "fax_number": "828-262-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SUNBURST LN",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286076438",
            "telephone_number": "828-264-1545",
            "fax_number": "828-262-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS COGNITIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "828-264-1545",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSW, MPA"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.