APPALACHIAN STATE UNIVERSITY (NPI# 1730240714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730240714 |
| Entity Type | Organization |
| Organization Name | APPALACHIAN STATE UNIVERSITY |
| Other Organization Name | APPALACHIAN FAMILY INNOVATIONS |
| Practice Address |
203 Avery Ave Morganton NC 28655-3102 |
| Practice Telephone | 8284337176 |
| Practice Fax Number | 8284378329 |
| Mailing Telephone | 8284337176 |
| Mailing Fax Number | 8284378329 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-06-03 |
| Authorized Official Name | MRS. PATRICE WHITE (INTERIM DIRECTOR) |
| Authorized Official Telephone | 8284337176 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300145K | 05 | |
| NC | 8300145 | 05 |
| Other Name | Type Code |
|---|---|
| Appalachian Family Innovations | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881730612 | Appalachian State University | Clinic/Center | Appalachian State University, Student Health Services, Boone, NC 28608-0001 | 2007-01-29 |
| 1851387286 | Appalachian State University | Clinic/Center | 400 University Hall Drive, Room 120, Boone, NC 28608-2041 | 2005-09-21 |
| 1699104273 | Appalachian State University | Community/Behavioral Health | 400 University Hall Drive, Boone, NC 28607 | 2013-11-05 |
| 1285989632 | Appalachian State University | Clinic/Center | Owens Field House, 135 Jack Branch Dr, Boone, NC 28608-0001 | 2012-07-20 |
| 1376794255 | Appalachian State University | Psychologist | 400 University Hall Drive, Room 120, Boone, NC 28608-2102 | 2008-10-09 |
| 1891815908 | Appalachian State University | Clinic/Center | 614 Howard Street, Student Health Service, Boone, NC 28608-2070 | 2007-03-30 |
| Street Address |
203 AVERY AVE |
| City | MORGANTON |
| State | NC |
| Zip Code | 28655-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376908905 | Barium Springs Home for Children | Community/Behavioral Health | 203 Avery Ave, Morganton, NC 28655-3102 | 2015-12-28 |
| 1679990824 | Barium Springs Home for Children | Community/Behavioral Health | 203 Avery Ave, Morganton, NC 28655-3102 | 2014-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1225678071 | Melissa Marie Sisco | Psychologist | Broughton State Hospital, 1000 S. Sterling Street, Morganton, NC 28655 | 2020-01-09 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1538626015 | Morganton Opco Holdings, LLC | Assisted Living Facility | 330 Juniper St, Morganton, NC 28655 | 2019-02-21 |
| 1982174843 | Katie Breeze Heald Dds PC | Dentist | 679 W. Fleming Dr., Morganton, NC 28655 | 2018-12-04 |
| 1104317353 | Dr Liner Ward & Shobe Dds Pa | Dentist | 503 S. Green Street, Morganton, NC 28655 | 2018-05-23 |
| 1578069779 | Catawba Valley Medical Servies | Speech-Language Pathologist | 409b S Sterling St, Morganton, NC 28655 | 2018-04-05 |
| 1336685601 | Clear Perspective, LLC | Counselor | 140 Beach Street, Morganton, NC 28655 | 2017-01-11 |
| 1245604800 | Burke Integrated Health | Family Medicine | 350 East Parker Road, Morganton, NC 28655 | 2015-11-19 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| Find all providers in zip 28655 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588855787 | Phoenix Home for Boys | Residential Treatment Facility, Emotionally Disturbed Children | 117 William Parks Ln, Morganton, NC 28655-9173 | 2007-08-05 |
| 1821113267 | Catawba River Behavoiral & Treatment Associates, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4580 Snowhill Church Rd, Morganton, NC 28655-6228 | 2007-03-21 |
| 1023147303 | Catawba River Behavioral & Treatment Associates, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 124 Normandy Dr, Morganton, NC 28655-4126 | 2007-03-05 |
| 1992834287 | Catawba River Behavioran & Treatment Associates Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3285 Westgate Dr, Morganton, NC 28655-7960 | 2007-03-05 |
| 1245367754 | Community Life Management Inc | Residential Treatment Facility, Emotionally Disturbed Children | 107 Kela Dr, Morganton, NC 28655-9076 | 2007-02-28 |
| 1265572168 | Youth Image, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3751 Nc 126, Morganton, NC 28655-7868 | 2007-02-08 |
| 1689738361 | Phoenix Home for Girls | Residential Treatment Facility, Emotionally Disturbed Children | 5560 White Oaks Dr, Morganton, NC 28655-7948 | 2006-12-20 |
| 1417131210 | Youth Image, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Kela Dr, Morganton, NC 28655-7868 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617255 | Creative Helping Hands LLC | Residential Treatment Facility, Emotionally Disturbed Children | 478 Green Lake Rd, Rockingham, NC 28379-7850 | 2020-10-19 |
| 1083237986 | Revive Housing LLC | Residential Treatment Facility, Emotionally Disturbed Children | 210 Sunset Dr Apt 615, Salisbury, NC 28147-7147 | 2020-05-26 |
| 1457998627 | Re Health Group | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Groves St, Kings Mountain, NC 28086-2232 | 2019-12-05 |
| 1821631532 | Marquita Latrice Walls | Residential Treatment Facility, Emotionally Disturbed Children | 1565 Longbranch Rd, Grover, NC 28073-9599 | 2019-10-25 |
| 1699233866 | A Brighter Path LLC | Residential Treatment Facility, Emotionally Disturbed Children | 120 Jetter Rd, Grover, NC 28073-9687 | 2019-03-06 |
| 1821562224 | Carter Clinic, Pa | Residential Treatment Facility, Emotionally Disturbed Children | 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 | 2019-01-18 |
| 1659842607 | Gervonia Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1714 Aster Ln, Gastonia, NC 28054-8303 | 2018-12-16 |
| 1679058440 | Miracle Houses Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 | 2018-09-27 |
| 1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
| 1104346881 | Inspiration for Us | Residential Treatment Facility, Emotionally Disturbed Children | 1205 W Mountain St, Kernersville, NC 27284-2173 | 2017-06-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on APPALACHIAN STATE UNIVERSITY.
| 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.