CAROLINA PARTNERS IN MENTAL (NPI# 1821409251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821409251 |
| Entity Type | Organization |
| Organization Name | CAROLINA PARTNERS IN MENTAL |
| Other Organization Name | CAROLINA PARTNERS OF DURHAM |
| Practice Address |
3604 Shannon Rd Suite 200 Durham NC 27707-6343 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 9194032122 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATION) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 31742 | NC | Suppliers |
| Other Name | Type Code |
|---|---|
| Carolina Partners of Durham | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669884094 | Carolina Partners In Mental | Non-Pharmacy Dispensing Site | 790 Se Cary Pkwy, Cary, NC 27511-5678 | 2014-05-20 |
| 1861810715 | Carolina Partners In Mental | Non-Pharmacy Dispensing Site | 1055 Dresser Ct, Raleigh, NC 27609-7323 | 2014-03-28 |
| Street Address |
3604 SHANNON RD SUITE 200 |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-6343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861711582 | Gregory Philip Helton | Psychiatry & Neurology | 3604 Shannon Rd, Ste. 200, Durham, NC 27707-6343 | 2010-05-20 |
| 1528305901 | Claudia A Thomas Campbell | Nurse Practitioner | 3604 Shannon Rd, Ste 200, Durham, NC 27707-6343 | 2013-01-06 |
| 1902155484 | Claudia Thomas Campbell LLC | Clinic/Center | 3604 Shannon Rd, Durham, NC 27707-6343 | 2012-08-30 |
| 1689969842 | Barbara Ann Gau | Social Worker | 3604 Shannon Rd, Ste 200, Durham, NC 27707-6343 | 2011-06-16 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255688594 | Darwich Partners Inc. | Non-Pharmacy Dispensing Site | 2001 Peppertree St, Suite A, Durham, NC 27705-2169 | 2012-08-06 |
| 1548374523 | Planned Parenthood Central Nc | Non-Pharmacy Dispensing Site | Charles W Momteith Md, 105 Newsom St, Durham, NC 27704 | 2006-08-18 |
| 1639501166 | Planned Parenthood of Central North Carolina, Inc. | Non-Pharmacy Dispensing Site | 105 Newsom St, Suite 101, Durham, NC 27704-2197 | 2013-08-07 |
| 1114263019 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 7010 Nc Highway 751, 101, Durham, NC 27707-5500 | 2012-12-20 |
| 1881911840 | Lakewood Pediatrics and Family Medicine | Non-Pharmacy Dispensing Site | 4003 N Roxboro St, Durham, NC 27704-2119 | 2010-04-29 |
| 1649350943 | Central Optical, Inc. | Non-Pharmacy Dispensing Site | 2609 N Duke St, Suite 622, Durham, NC 27704-3048 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952775108 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 907 Us 401 Bypass, Laurinburg Commons, Laurinburg, NC 28352 | 2015-11-25 |
| 1417321381 | Urgent Cares of America Nc Inc | Non-Pharmacy Dispensing Site | 5214 Market St, Wilmington, NC 28405-4067 | 2015-11-16 |
| 1003280033 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 825 Blowing Rock Blvd, Lenoir, NC 28645-3709 | 2015-11-13 |
| 1659741361 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1262 East Broad Avenue, Rockingham, NC 28379 | 2015-10-07 |
| 1740650456 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 220 Us Highway 70 West, Garner, NC 27529 | 2015-10-07 |
| 1033589072 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 6010 Glenwood Ave, Raleigh, NC 27612-2602 | 2015-10-02 |
| 1922478205 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 910 N Madison Blvd, Suite B, Roxboro, NC 27573-4573 | 2015-09-30 |
| 1942679519 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 511 Smoky Park Hwy, Candler, NC 28715-8613 | 2015-09-24 |
| 1164891016 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 212 N Spence Ave, Goldsboro, NC 27534-4318 | 2015-09-22 |
| 1811363674 | Unc Physicians Network, LLC | Non-Pharmacy Dispensing Site | 7100-9 Kit Creek Road, Research Triangle Park, NC 27709 | 2015-08-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CAROLINA PARTNERS IN MENTAL.
| 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.