1790979896 NPI number — PSYCHOTHERAPEUTIC SERVICES

Table of content: (NPI 1790979896)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790979896 NPI number — PSYCHOTHERAPEUTIC SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PSYCHOTHERAPEUTIC SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790979896
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/18/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2260 S CHURCH ST
Provider Second Line Business Mailing Address:
SUITE 303
Provider Business Mailing Address City Name:
BURLINGTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27215
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-778-9114
Provider Business Mailing Address Fax Number:
410-778-7988

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2260 S. CHURCH ST
Provider Second Line Business Practice Location Address:
SUITE 303
Provider Business Practice Location Address City Name:
BURLINGTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-538-6990
Provider Business Practice Location Address Fax Number:
336-538-6991
Provider Enumeration Date:
08/31/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CLENDANIEL
Authorized Official First Name:
MARCIA
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
BILLING MANAGER
Authorized Official Telephone Number:
410-810-2465

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8300588 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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