CIHA JUVENILE SERVICES (NPI# 1942608120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942608120 |
| Entity Type | Organization |
| Organization Name | CIHA JUVENILE SERVICES |
| Other Organization Name | CIHA JUVENILE JUSTICE |
| Practice Address |
85 Childrens Home Loop Cherokee NC 28719 |
| Mailing Address |
1 Hospital Rd Caller Box C-268 Cherokee NC 28719 |
| Practice Telephone | 8283596690 |
| Practice Fax Number | 8283590014 |
| Mailing Telephone | 8284979163 |
| Mailing Fax Number | 8284971723 |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2015-12-14 |
| Authorized Official Name | CASEY COOPER (CEO) |
| Authorized Official Telephone | 8284979163 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | Y |
| Parent Organization Name | CHEROKEE INDIAN HOSPITAL AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 282N00000X | General Acute Care Hospital | NC | Hospitals | |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBSNC | 0767C | 01 | |
| NC | 3400156 | 05 | |
| NC | BCRS | 0767C | 01 |
| Other Name | Type Code |
|---|---|
| CIHA Juvenile Justice | Doing Business As Name - Organization |
| Street Address |
85 CHILDRENS HOME LOOP |
| City | CHEROKEE |
| State | NC |
| Zip Code | 28719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457617 | Cherokee Indian Hospital Authority | Psychiatric Unit | 149 Cherokee Hospital Loop, Cherokee, NC 28719 | 2020-11-04 |
| 1033728183 | Shannon S. Casey | Registered Nurse | 448 Sequoyah Trl, Cherokee, NC 28719 | 2020-07-24 |
| 1629698303 | Family Safety Program | Foster Care Agency | 117 John Crowe Hill Rd, Cherokee, NC 28719 | 2020-04-22 |
| 1902372691 | Amy Sue Wilson | Peer Specialist | 375 Sequoyah Trl # 268, Cherokee, NC 28719 | 2018-10-19 |
| 1730669078 | Olivia M Reed | Social Worker | 188 Cherokee Hospital Loop # C268, Cherokee, NC 28719 | 2018-08-16 |
| 1013468156 | Jonathan Mitzel | Specialist/Technologist | 200 Ravensford Drive, Cherokee, NC 28719 | 2016-10-24 |
| 1114393709 | Izabela Halina Lubinska-welch | Registered Nurse | 188 Cherokee Hospital Loop, Cherokee, NC 28719 | 2015-08-18 |
| 1801284542 | Cherokee Indian Hospital Authority | Psychologist | 77 Paint Town Rd, Cherokee, NC 28719 | 2015-01-05 |
| 1104171081 | Christopher Mcknight | Student in an Organized Health Care Education/Training Program | 188 Hospital Rd, Cherokee, NC 28719 | 2012-07-17 |
| 1396021200 | Cherokee Indian Hospital Authority | Clinic/Center | 75 Paint Town Road, Cherokee, NC 28719 | 2011-10-25 |
| Find all providers in zip 28719 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245699016 | School Specified | Psychologist | 375 Sequoyah Trl, Cherokee, NC 28719 | 2016-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831639 | Elizabeth A Derouin | Psychologist | 422 W 9th St, Newton, NC 28658-3819 | 2020-05-05 |
| 1497397673 | Sheltia Powell | Psychologist | 1400 E Cornwallis Rd, Durham, NC 27713-3457 | 2019-10-09 |
| 1154796480 | Kerri Wright | Psychologist | 7206 Courtney Pines Rd, Wilmington, NC 28411-7076 | 2015-12-11 |
| 1780053223 | Susan Lynn Moschos | Psychologist | 249 Tobacco Farm Way, Chapel Hill, NC 27516-8420 | 2015-09-15 |
| 1720454549 | Jessica Boisjoli Leboeuf | Psychologist | 824 Historian St, Raleigh, NC 27603-3489 | 2015-08-16 |
| 1275958399 | Matthews Psychological and Family Services, Pllc | Psychologist | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2014-02-26 |
| 1740543032 | Bindiya Shajith | Psychologist | 300 Asheville Ave, Suite # 240, Cary, NC 27518-8682 | 2012-06-21 |
| 1144589623 | Lara E. Gerrard, Ma, Lpa Psychoeducational Evaluations | Psychologist | 668 N Spence Ave, Goldsboro, NC 27534-4233 | 2012-05-03 |
| 1295003002 | Linda Peer Fleming | Psychologist | 108-d West Firetower Rd., Teacch South Hall Professional Center, Winterville, NC 28590 | 2011-12-07 |
| 1508165986 | The G.l.u. Club, LLC | Psychologist | 9156 Eventine Ct, Charlotte, NC 28214-9323 | 2011-03-24 |
| 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.