COMMUNITY INNOVATIONS (NPI# 1003017179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003017179 |
| Entity Type | Organization |
| Organization Name | COMMUNITY INNOVATIONS |
| Practice Address |
118 E Walter St Whiteville NC 28472-4142 |
| Mailing Address |
3210 Fairhill Dr Raleigh NC 27612-3220 |
| Practice Telephone | 9106402724 |
| Practice Fax Number | 9106403474 |
| Mailing Telephone | 9192560824 |
| Mailing Fax Number | 9192568750 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANDY ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 9106425697 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5906099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154532596 | Community Innovations | Psychiatry & Neurology | 704 Progress Place, Suite B, Laurinburg, NC 28352-5545 | 2007-05-25 |
| 1912099623 | Community Innovations | Community/Behavioral Health | 801 Wilson St, Whiteville, NC 28472-4713 | 2006-09-29 |
| 1760854681 | Community Innovations | In Home Supportive Care | 3210 Fairhill Dr, Raleigh, NC 27612-3215 | 2015-10-30 |
| 1629207774 | Community Innovations | Community/Behavioral Health | 1015 West Blvd, Laurinburg, NC 28352-4328 | 2009-07-10 |
| 1447452073 | Community Innovations | Community/Behavioral Health | 2003 Godwin Ave, Suite A, Lumberton, NC 28358-3197 | 2007-06-05 |
| 1427259548 | Community Innovations | Community/Behavioral Health | 704 Progress Pl, Laurinburg, NC 28352-5545 | 2007-05-29 |
| 1184825259 | Community Innovations | Community/Behavioral Health | 118 E Walter St, Whiteville, NC 28472-4142 | 2007-05-29 |
| 1407057524 | Community Innovations | Community/Behavioral Health | 410 Peanut Plant Road, Elizabethtown, NC 28337 | 2007-05-29 |
| 1285845610 | Community Innovations | Psychiatry & Neurology | 410 Peanut Plant Road, Elizabethtown, NC 28337 | 2007-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | COMMUNITY INNOVATIONS & DYNAMICS INCORPORATED | P.o. Box 2602, Chesapeake, Virginia 23327 |
| New York State Corporations | COMMUNITY INNOVATIONS, INC. | 120 Bloomingdale Rd #100, White Plains, Ny 10605 |
| Street Address |
118 E WALTER ST |
| City | WHITEVILLE |
| State | NC |
| Zip Code | 28472-4142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932298262 | Community Innovations, Inc. | Case Management | 118 E Walter St, Whiteville, NC 28472-4142 | 2006-10-12 |
| 1164775961 | Ethel Dolores Warner | Counselor | 118 E Walter St, Whiteville, NC 28472-4142 | 2012-10-18 |
| 1184825259 | Community Innovations | Community/Behavioral Health | 118 E Walter St, Whiteville, NC 28472-4142 | 2007-05-29 |
| 1700093184 | Community Innovations, Inc. | Case Management | 118 E Walter St, Whiteville, NC 28472-4142 | 2007-05-16 |
| 1760552467 | Community Innovations, Inc. | Counselor | 118 E Walter St, Whiteville, NC 28472-4142 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
| 1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
| 1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
| 1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
| 1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
| 1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
| 1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
| 1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
| Find all providers in zip 28472 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659477677 | Angel Vazquez | Psychiatry & Neurology | 603 S Canal St, Whiteville, NC 28472-4256 | 2006-09-16 |
| 1205307063 | Carter Clinic, Pa | Psychiatry & Neurology | 209 W Virgil St, Whiteville, NC 28472-4017 | 2018-12-05 |
| 1063960904 | Pace Health Network, LLC | Psychiatry & Neurology | 209 W Virgil St, Whiteville, NC 28472-4017 | 2016-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851696 | Cana Psychiatric Health | Psychiatry & Neurology | 1846 E Innovation Park Dr #100, Oro Valley, NC 27502-2750 | 2020-11-04 |
| 1750999876 | Integral Mental Healthcare Pllc | Psychiatry & Neurology | 1105 Walnut St Ste F-16031, Cary, NC 27511-4762 | 2020-07-14 |
| 1740808096 | Best Day Psychiatry and Counseling, PC | Psychiatry & Neurology | 4905 Pine Cone Dr Ste 9, Durham, NC 27707-5258 | 2020-07-13 |
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1639792245 | Summit Health Psychiatry, PC | Psychiatry & Neurology | 226 Shannon Rd, Hendersonville, NC 28791-8739 | 2020-05-19 |
| 1083240592 | Sabrina Michelle Campbell | Psychiatry & Neurology | 1601 Brenner Ave Bldg 8-1, Salisbury, NC 28144-2515 | 2020-03-16 |
| 1457986416 | Benjamin Boris Brodey | Psychiatry & Neurology | 201 E Rosemary St, Chapel Hill, NC 27514-3529 | 2020-03-10 |
| 1538794276 | Carolina Psychiatry Center, Pllc | Psychiatry & Neurology | 301 Keisler Dr Ste A, Cary, NC 27518-7018 | 2020-03-03 |
| 1568002608 | Avant Medical Consulting Pllc | Psychiatry & Neurology | 109 Rosegarten Ct, New Bern, NC 28562-1016 | 2020-01-07 |
| 1518503994 | Mental Health Associates and Addiction | Psychiatry & Neurology | 1944 Hendersonville Rd # D-1a, Asheville, NC 28803-2351 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | WHITEVILLE |
| Zip Code | 28472 |
Please comment or provide details below to improve the information on COMMUNITY INNOVATIONS.
| 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.