CONCERN OF DURHAM, INC (NPI# 1811050982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811050982 |
| Entity Type | Organization |
| Organization Name | CONCERN OF DURHAM, INC |
| Practice Address |
3001 Academy Rd Suite 230 Durham NC 27707-2660 |
| Mailing Address |
3001 Academy Rd 230 Durham NC 27707-2660 |
| Practice Telephone | 9194895652 |
| Practice Fax Number | 9194906288 |
| Mailing Telephone | 9194895652 |
| Mailing Fax Number | 9194906288 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-08-23 |
| Authorized Official Name | MS. GAIL DIANE YASHAR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9194895652 |
| Authorized Official Credential | LCSW, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 032-054 & 032-01 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DSS PROVIDER NUMBER | H22001 | 01 |
| NC | 6603009 | 05 | |
| NC | VALUE OPTIONS PROVIDER NU | 320942 | 01 |
| NC | MENTAL HEALTH PROVIDER # | MHL-032-054 | 01 |
| NC | DSS PROVIDER NUMBER | H22002 | 01 |
| NC | 6603008 | 05 | |
| NC | BC/BS | 0176M | 01 |
| NC | MH PROVIDER # | MHL-032-016 | 01 |
| Street Address |
3001 ACADEMY RD SUITE 230 |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-2660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740211226 | Integrative Physicians PC | Family Medicine | 3001 Academy Rd, #200, Durham, NC 27707-2660 | 2006-07-05 |
| 1942750435 | Wellness Station LLC | Clinic/Center | 3001 Academy Rd, Suite130, Durham, NC 27707-2660 | 2016-10-07 |
| 1912352949 | The Wellness Station | Clinic/Center | 3001 Academy Rd, Suite 130, Durham, NC 27707-2660 | 2016-04-27 |
| 1003296054 | Mary Lauren Cheek Parrish | Registered Nurse | 3001 Academy Rd, Suite 200, Durham, NC 27707-2660 | 2015-06-04 |
| 1235486846 | Jessica Tyson Lauerman | Nurse Practitioner | 3001 Academy Rd, Suite 200, Durham, NC 27707-2660 | 2012-08-14 |
| 1205101318 | Lawrence A Dunn, Md, Pllc | Psychiatry & Neurology | 3001 Academy Rd, Suite 240, Durham, NC 27707-2660 | 2012-03-22 |
| 1306133806 | Katherine Cynthia Fulkerson | Psychologist | 3001 Academy Rd, Suite 240, Durham, NC 27707-2660 | 2011-07-05 |
| 1356526735 | Michael R Richter | Dentist | 3001 Academy Rd, Suite 250, Durham, NC 27707-2653 | 2008-01-04 |
| 1225240195 | Katayoun Tabrizi | Psychiatry & Neurology | 3001 Academy Rd, Suite 200, Durham, NC 27707-2660 | 2007-05-04 |
| 1093835084 | Amy Ruth Csorba | Family Medicine | 3001 Academy Rd, Suite 200, Durham, NC 27707-2660 | 2007-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| 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 |
|---|---|---|---|---|
| 1891019345 | Purposely Driven By Hope Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2720 Wedgedale Ave, Durham, NC 27703-3345 | 2010-03-25 |
| 1235453366 | Striving for Excellence Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 3704 Four Seasons Dr, Durham, NC 27707-4724 | 2010-03-18 |
| 1194051110 | Herbert Way of Living, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 810 Cartman Dr, Durham, NC 27704-2318 | 2009-10-27 |
| 1639310238 | Visions of Hope Adolescent Center, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3633 Glidewell Ct, Durham, NC 27707-6044 | 2009-03-12 |
| 1285874909 | Freddie Lee Williams | Residential Treatment Facility, Emotionally Disturbed Children | 3671 Guess Rd, Durham, NC 27705-6908 | 2009-02-21 |
| 1134366388 | Kinder Love Homs | Residential Treatment Facility, Emotionally Disturbed Children | 1202 Ellis Rd, Durham, NC 27703-6027 | 2009-01-09 |
| 1891931044 | Another Chance Residential, LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 232 Ruby Ridge Rd, Durham, NC 27703-4661 | 2008-12-17 |
| 1821261389 | S Martin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2 Isaacs Way, Durham, NC 27713-3465 | 2008-04-05 |
| 1366611584 | Mckinley's Better Living Residential Services | Residential Treatment Facility, Emotionally Disturbed Children | 104 Putnam Ln, Durham, NC 27713-2316 | 2008-02-21 |
| 1154513141 | The Greenhouse, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 224 Overlook Ave, Durham, NC 27712-2829 | 2007-08-14 |
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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.