MURDOCH DEVELOPMENTAL CENTER (NPI# 1770629206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770629206 |
| Entity Type | Organization |
| Organization Name | MURDOCH DEVELOPMENTAL CENTER |
| Practice Address |
1600 East C Street Butner NC 27509-2530 |
| Practice Telephone | 9195751000 |
| Practice Fax Number | 9195751104 |
| Mailing Telephone | 9195751000 |
| Mailing Fax Number | 9195751104 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | MRS. MICHELLE LEIGH REESE-JOSEFSBERG (UTILIZATION MANAGEMENT COORDINATOR) |
| Authorized Official Telephone | 9198554761 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408339 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477681500 | Murdoch Developmental Center | Pharmacy | 1600 E C St, Butner, NC 27509-2530 | 2007-03-01 |
| 1881730315 | Murdoch Developmental Center | Clinic/Center | 1600 East C Street, Butner, NC 27509-2530 | 2007-01-30 |
| 1699811125 | Murdoch Developmental Center | Intermediate Care Facility, Mentally Retarded | 1600 East C Street, Butner, NC 27509-2530 | 2007-01-30 |
| 1063568483 | Murdoch Developmental Center | Pharmacy | 1600 East C Street, Butner, NC 27509-2530 | 2007-01-26 |
| Street Address |
1600 EAST C STREET |
| City | BUTNER |
| State | NC |
| Zip Code | 27509-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073577409 | Crysta Yvette Hilliard | Physical Therapist | 1600 East C Street, Murdoch Center Pt Ot Department, Butner, NC 27509 | 2006-04-13 |
| 1427584697 | Lauren Spencer | Psychologist | 1600 East C Street, Butner, NC 27509 | 2017-05-10 |
| 1881730315 | Murdoch Developmental Center | Clinic/Center | 1600 East C Street, Butner, NC 27509-2530 | 2007-01-30 |
| 1699811125 | Murdoch Developmental Center | Intermediate Care Facility, Mentally Retarded | 1600 East C Street, Butner, NC 27509-2530 | 2007-01-30 |
| 1063568483 | Murdoch Developmental Center | Pharmacy | 1600 East C Street, Butner, NC 27509-2530 | 2007-01-26 |
| 1265581326 | Janet Hader Keating | Family Medicine | 1600 East C Street, Murdoch Center, Butner, NC 27509-2530 | 2007-01-09 |
| 1932257367 | Deborah Hess Macinnes | Family Medicine | 1600 East C Street, Murdoch Developmental Center Medical Clinic, Butner, NC 27509 | 2007-01-08 |
| 1184793721 | Darcy A Nagle | Occupational Therapy Assistant | 1600 East C Street, Butner, NC 27509 | 2006-11-07 |
| 1255425021 | Delilah Little Turpin | General Practice | 1600 East C Street, Butner, NC 27509-3000 | 2006-10-03 |
| 1013010040 | Gay G Strickland | Family Medicine | 1600 East C Street, Murdoch Center, Butner, NC 27509 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196980 | Kara Holden | Psychologist | Old Nc Hwy 75, Butner, NC 27509 | 2019-04-02 |
| 1891256459 | Brandon Anthony Jones | Nurse Practitioner | 3000 Old Hwy 75, Butner, NC 27509 | 2019-03-27 |
| 1003327180 | Jordan Tryhubenko | Pharmacist | Old N. Carolina Hwy 75, Butner, NC 27509 | 2017-10-17 |
| 1588182695 | Brittini Hanna Harbin | Social Worker | Central Regional Hospital, 300 Veazey Rd., Butner, NC 27509 | 2017-09-08 |
| 1306387568 | Danielle Harris | Counselor | 101 W H St, Butner, NC 27509 | 2017-03-20 |
| 1679014195 | Brittany Griffin | Social Worker | 100 H St, Butner, NC 27509 | 2017-03-16 |
| 1881946952 | Derick Phillip | Internal Medicine | Old Oxford Highway 75 Lsci, Federal Correctional Complex, Butner, NC 27509 | 2012-10-12 |
| 1518215268 | Karla Bowens | Physician Assistant | Fmc Butner Old Highway 75, Butner, NC 27509 | 2012-08-28 |
| 1639456262 | Federal Med Center - Butner | Pharmacy | Old Nc 75, Butner, NC 27509 | 2011-11-10 |
| 1659671220 | Brandon Fraser Wyche | Physician Assistant | Fci Butner Medium II Old Nc Hwy 75, Butner, NC 27509 | 2010-10-28 |
| Find all providers in zip 27509 | ||||
| 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 |
|---|---|---|---|---|
| 1215376082 | Omni Visions, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1207 W C St, Butner, NC 27509-1762 | 2013-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455126 | A Place 4 Me, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 | 2020-07-28 |
| 1922623792 | Our Home At Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 | 2020-06-08 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1710443395 | Unity 4 Us Community Outreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 406 Lincoln St, Belmont, NC 28012-3045 | 2019-02-19 |
| 1871059444 | Believing Everyone Succeeds Together | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 323 Shady Grove Rd, Kings Mtn, NC 28086-9671 | 2019-02-19 |
| 1740744283 | Tri Plex Industries Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 | 2019-01-29 |
| 1316415037 | Igr Collaborations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 212 Pine Ridge Dr, Roanoke Rapids, NC 27870-6832 | 2018-11-12 |
| 1164924940 | David Douglas Whitfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5342 Us Highway 301 North, Micro, NC 27555 | 2018-03-07 |
| 1710489976 | Moravian Enterprises, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 North Elm St., Suite 810, Greensboro, NC 27401 | 2018-03-05 |
| 1659897833 | Shelby Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 621 S Dekalb St Ste A, Shelby, NC 28150-6189 | 2017-08-18 |
| Find all providers with the same taxonomy | ||||
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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.