COMMUNITY INNOVATIONS, INC. (NPI# 1013047836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013047836 |
| Entity Type | Organization |
| Organization Name | COMMUNITY INNOVATIONS, INC. |
| Practice Address |
2003 Godwin Ave Suite A Lumberton NC 28358-3197 |
| Mailing Address |
3210 Fairhill Dr Raleigh NC 27612-3215 |
| Practice Telephone | 9107398849 |
| Practice Fax Number | 9107395167 |
| Mailing Telephone | 9192560824 |
| Mailing Fax Number | 9192560833 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2009-04-29 |
| Authorized Official Name | MR. ANDY ANDERSON (PRESIDENT CEO) |
| Authorized Official Telephone | 9107398849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5903155 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154645554 | Community Innovations, Inc. | Community/Behavioral Health | 805 Wilson St, Whiteville, NC 28472-4713 | 2010-03-15 |
| 1275740821 | Community Innovations, Inc. | Community/Behavioral Health | 410 Peanut Plant Rd, Elizabethtown, NC 28337-9482 | 2007-05-16 |
| 1255548863 | Community Innovations, Inc. | Community/Behavioral Health | 1503 S Glen Burnie Rd, New Bern, NC 28562-1503 | 2007-05-16 |
| 1780756056 | Community Innovations, Inc. | Case Management | 1503 S Glen Burnie Road, New Bern, NC 28562-1503 | 2006-11-14 |
| 1740350446 | Community Innovations, Inc. | Case Manager/Care Coordinator | 1104 W. Broad St, Elizabethtown, NC 28337 | 2006-11-09 |
| 1679643373 | Community Innovations, Inc. | Counselor | 1781 South Main Street, Laurinburg, NC 28352 | 2006-11-09 |
| 1275614893 | Community Innovations, Inc. | Case Management | 410 Peanut Plant Road, Elizabethtown, NC 28337-7103 | 2006-10-18 |
| 1932298262 | Community Innovations, Inc. | Case Management | 118 E Walter St, Whiteville, NC 28472-4142 | 2006-10-12 |
| 1972692960 | Community Innovations, Inc. | Case Management | 704 Progress Pl, Ste B, Laurinburg, NC 28352-5545 | 2006-10-11 |
| 1265708549 | Community Innovations, Inc. | Counselor | 3972 Business 17 E, Ste C, Bolivia, NC 28422-9030 | 2012-03-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | COMMUNITY INNOVATIONS, INC. | 120 Bloomingdale Rd #100, White Plains, Ny 10605 |
| Street Address |
2003 GODWIN AVE SUITE A |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-3197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821067695 | Julie P. Dowless | Nurse Practitioner | 2003 Godwin Ave, Suite B, Lumberton, NC 28358-3149 | 2006-03-15 |
| 1144874348 | Lindsey Oxendine | Counselor | 2003 Godwin Ave, Lumberton, NC 28358-3149 | 2019-07-26 |
| 1508322884 | Tammy Sampson | Counselor | 2003 Godwin Ave, Lumberton, NC 28358-3149 | 2019-02-12 |
| 1962998500 | Candace Melvin | Counselor | 2003 Godwin Ave, Lumberton, NC 28358-3149 | 2018-07-06 |
| 1508387994 | Eva Lynn Lowery | Social Worker | 2003 Godwin Ave, Lumberton, NC 28358-3149 | 2017-07-06 |
| 1861939076 | Samantha Oxendine | Counselor | 2003 Godwin Ave, Lumberton, NC 28358-3149 | 2017-01-25 |
| 1619330453 | Mary Gerideau | Social Worker | 2003 Godwin Ave, Suite C, Lumberton, NC 28358-3149 | 2016-03-30 |
| 1144689837 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 2003 Godwin Ave, Ste A, Lumberton, NC 28358-3149 | 2016-02-23 |
| 1548626179 | Yniquekeyah Mole | Counselor | 2003 Godwin Ave, Lumberton, NC 28358-3149 | 2016-01-12 |
| 1245603323 | Corey Christopher Winston | Social Worker | 2003 Godwin Ave, Suite A, Lumberton, NC 28358-3149 | 2015-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| 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 |
|---|---|---|---|---|
| 1558847434 | Carter Clinic, P A | Psychiatry & Neurology | 2409 N Elm St, Lumberton, NC 28358-3658 | 2018-07-13 |
| 1760887301 | Southeastern Regional Medical Center | Psychiatry & Neurology | 300 W 27th St, Lumberton, NC 28358-3075 | 2014-10-24 |
| 1215298856 | Mandeep Kaur | Psychiatry & Neurology | 300 W 27th St, Southeastern Regional Medical Center, Lumberton, NC 28358-3075 | 2012-05-30 |
| 1225307713 | Southeastern Regional Medical Center | Psychiatry & Neurology | 300 W 27th St, Lumberton, NC 28358-3075 | 2011-12-29 |
| 1013036755 | Cases | Psychiatry & Neurology | 401 E 11th St, Lumberton, NC 28358-4807 | 2007-03-27 |
| 1134225154 | Randall Purdy | Psychiatry & Neurology | 207 W 29th St, Lumberton, NC 28358-2901 | 2006-09-16 |
| 1588760672 | Sid Hosseini | Psychiatry & Neurology | 300 W 27th St, Lumberton, NC 28358-3075 | 2006-09-15 |
| 1952407116 | Susan Fredriksen | Psychiatry & Neurology | 300 W 27th St, Lumberton, NC 28358-3075 | 2006-09-15 |
| 1770689101 | Theresa Bullard | Psychiatry & Neurology | 300 W 27th St, Lumberton, NC 28358-3075 | 2006-09-15 |
| 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 |
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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.