PETERKIN AND ASSOCIATES, INC. (NPI# 1548356355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548356355 |
| Entity Type | Organization |
| Organization Name | PETERKIN AND ASSOCIATES, INC. |
| Practice Address |
131 Hay St. Suite 201 Fayetteville NC 28301-5649 |
| Practice Telephone | 9103231817 |
| Practice Fax Number | 9103232607 |
| Mailing Telephone | 9103231817 |
| Mailing Fax Number | 9103232607 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2010-07-12 |
| Authorized Official Name | DR. ALICE D. SMITH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9103231817 |
| Authorized Official Credential | ED.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-026-049 | NC | Residential Treatment Facilities |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-026-097 | NC | Residential Treatment Facilities |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-026-071 | NC | Residential Treatment Facilities |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-063-016 | NC | Residential Treatment Facilities |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-063-017 | NC | Residential Treatment Facilities |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-026-01 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300766 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558675264 | Peterkin and Associates, Inc. | Community/Behavioral Health | 2692 Harris St, Suite 200, East Point, GA 30344-2672 | 2010-08-05 |
| 1124227277 | Peterkin and Associates, Inc. | Case Management | 118 E. Elizabeth Street, Clinton, NC 28328-4018 | 2007-07-17 |
| 1114146461 | Peterkin and Associates, Inc. | Clinic/Center | 128 W. 5th Street, Lumberton, NC 28358-5539 | 2007-04-25 |
| 1548394828 | Peterkin and Associates, Inc. | Clinic/Center | 212 E. Walnut Street, Goldsboro, NC 27530-4835 | 2007-03-16 |
| 1376501973 | Peterkin and Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 131 Hay Street, Suite 201, Fayetteville, NC 28301-5649 | 2006-05-03 |
| Street Address |
131 HAY ST. SUITE 201 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-5649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679065544 | Abilities In Motion | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Habersham Dr Ste C, Fayetteville, GA 30214 | 2018-06-05 |
| 1720428717 | First Option Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 928 Highway 314, Fayetteville, GA 30214-3404 | 2013-07-05 |
| 1770922551 | Omni Visions, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3505 Elsie Cir, Fayetteville, NC 28312-9208 | 2013-06-14 |
| 1457684482 | Shirley Home Away From Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 190 Middling Ln, Fayetteville, GA 30214-3767 | 2009-09-09 |
| 1790925915 | Blessings Assurance Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 Vickery Ln, Fayetteville, GA 30215-4680 | 2009-02-27 |
| 1528214905 | Caldwell and Associates Behavior Health, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2539 Mcarthur Landing Cir, 102, Fayetteville, NC 28311-9020 | 2008-08-17 |
| 1467616318 | The Janice Mae Hawkins Foundation Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 723 Glen Reilly Dr, Fayetteville, NC 28314-5600 | 2008-07-10 |
| 1033382486 | Serenity Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 711 Middle Rd, Fayetteville, NC 28312-5211 | 2008-04-07 |
| 1518093814 | Parker Investment Limited | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2370 Commonwealth Ave, Fayetteville, NC 28301-2870 | 2007-02-23 |
| 1891836193 | Special Angels | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3738 Cedar Hill Dr, Fayetteville, NC 28312-9612 | 2007-02-09 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.