AUTISM SOCIETY OF NORTH CAROLINA, INC. (NPI# 1881751865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881751865 |
Entity Type | Organization |
Organization Name | AUTISM SOCIETY OF NORTH CAROLINA, INC. |
Practice Address |
5121 Kingdom Way Ste 100 Raleigh NC 27607-6063 |
Practice Telephone | 9197430204 |
Practice Fax Number | 9197430208 |
Mailing Telephone | 9197430204 |
Mailing Fax Number | 9197430208 |
Enumeration Date | 2007-01-02 |
Last Update Date | 2018-03-22 |
Authorized Official Name | PAUL WENDLER (CFO) |
Authorized Official Telephone | 9198655078 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 3408612 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
306 Summit St, Asheville, NC 288032725 | 8282361547 | |
505 Oberlin Rd, Suite 230, Raleigh, NC 276051345 | 9197430204 | 9197430208 |
8420 University Exec Park Dr Ste 810, Charlotte, NC 282621346 | 7048949678 | |
9 Oak Branch Dr, Greensboro, NC 274072992 | 3363330197 |
Street Address |
5121 KINGDOM WAY STE 100 |
City | RALEIGH |
State | NC |
Zip Code | 27607-6063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912507260 | Taylor Danielle Edgerley | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-27 |
1154920544 | Elizabeth Campbell | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-18 |
1659970028 | Jordan Lee Hill | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-18 |
1770182131 | Courtney Lynn Moriarty | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-17 |
1124627559 | Julia Mlynarick | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-17 |
1417555830 | Raquel Byrd | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-16 |
1619575149 | Janel Moira Dy Cuevas | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-16 |
1235745308 | Christina Royster | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-09-23 |
1720692304 | Paige O Yanik | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-09-01 |
1992316111 | Alyssa Leigh-ann Decker | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-08-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
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Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528688678 | Life Extensions LLC | Community/Behavioral Health | 4304 Coburn Pl Apt 106, Raleigh, NC 27616-7971 | 2020-04-19 |
1639716368 | Monarch | Community/Behavioral Health | 1705 Beacon Bluff St, Raleigh, NC 27604-5446 | 2019-12-02 |
1700429396 | Transcending Limits Counseling Services Pllc | Community/Behavioral Health | 3445 Teravista Way, Raleigh, NC 27616-9310 | 2019-10-25 |
1497397137 | Ever-lasting Counseling Service LLC | Community/Behavioral Health | 7730 Sunfield Cir Apt 303, Raleigh, NC 27617-6762 | 2019-10-15 |
1285108373 | Metro Treatment of North Carolina L P | Community/Behavioral Health | 3911 New Bern Ave, Raleigh, NC 27610-1332 | 2019-01-11 |
1932670999 | Elevation Community Services, LLC | Community/Behavioral Health | 3712 Benson Dr Ste 201-202, Raleigh, NC 27609-7328 | 2018-12-16 |
1891297222 | Saving Hope, LLC | Community/Behavioral Health | 2501 Lilymount Dr, Raleigh, NC 27610-3476 | 2018-03-01 |
1508370776 | Resiliency In Recovery | Community/Behavioral Health | 3986 Cane Garden Dr, Raleigh, NC 27610-5696 | 2017-11-27 |
1467975318 | Aci Support Specialists, LLC | Community/Behavioral Health | 6832 Planting Ct, Raleigh, NC 27610-8705 | 2017-07-24 |
1134649601 | Aci Support Specialists, LLC | Community/Behavioral Health | 12367 Honeychurch St, Raleigh, NC 27614-7879 | 2017-06-26 |
Find all providers in RALEIGH |
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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.