THE CAROUSEL CENTER, INC. (NPI# 1063696375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063696375 |
| Entity Type | Organization |
| Organization Name | THE CAROUSEL CENTER, INC. |
| Practice Address |
1501 Dock St Wilmington NC 28401-4936 |
| Mailing Address |
1501 Dock Street Wilmington NC 28401-4936 |
| Practice Telephone | 9102549898 |
| Practice Fax Number | 9102549818 |
| Mailing Telephone | 9102549898 |
| Mailing Fax Number | 9102549818 |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | AMY L FEATH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9102549898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
C002813 | NC | Ambulatory Health Care Facilities |
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
200001473568 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89012Y5 | 05 | |
| NC | 6005718 | 05 |
| Street Address |
1501 DOCK ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-4936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043203060 | Gloria Jean Wright | Social Worker | 1501 Dock St, Wilmington, NC 28401-4936 | 2005-08-24 |
| 1780298042 | Tabitha Lauren O'briant | Social Worker | 1501 Dock St, Wilmington, NC 28401-4936 | 2020-09-03 |
| 1427660687 | Amy Louise Slayton | Social Worker | 1501 Dock St, Wilmington, NC 28401-4936 | 2020-08-19 |
| 1447727607 | Ashley Elizabeth Cutrell | Social Worker | 1501 Dock St, Wilmington, NC 28401-4936 | 2018-10-25 |
| 1184110702 | Gina G Warren | Counselor | 1501 Dock St, Wilmington, NC 28401-4936 | 2018-07-06 |
| 1760906184 | Kelly Grant Ezzell | Nurse Practitioner | 1501 Dock St, Wilmington, NC 28401-4936 | 2017-07-27 |
| 1598115586 | Alexandra Jordan Hayson | Social Worker | 1501 Dock St, Wilmington, NC 28401-4936 | 2016-06-21 |
| 1043697865 | Kendra Kellermann | Nurse Practitioner | 1501 Dock St, Wilmington, NC 28401-4936 | 2015-04-30 |
| 1164731261 | Lisa M Brooks | Counselor | 1501 Dock St, Wilmington, NC 28401-4936 | 2010-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893734 | Blue Telepsych Urgent Care | Clinic/Center | 8406 Fiddlestick Way, Wilmington, NC 28412-3394 | 2020-08-28 |
| 1144846197 | Olive Branch Medical LLC | Clinic/Center | 530 Harlan Blvd Unit 404, Wilmington, DE 19801-5170 | 2020-06-24 |
| 1669940722 | Wilmington Chiropractic and Wellness Center LLC | Clinic/Center | 576 Prairie Ave, Wilmington, OH 45177-1770 | 2018-11-07 |
| 1932298668 | Coastal Carolina Heart, LLC | Clinic/Center | 1604 Physicians Dr, Suite 104, Wilmington, NC 28401-7362 | 2006-10-12 |
| 1386751048 | Robert N. Dumin, M.d. | Clinic/Center | 1504 Turkey Run Rd, Wilmington, DE 19803-3918 | 2006-08-25 |
| 1801813456 | Partners In Endocrinology and Diabetes Pllc | Clinic/Center | 1501 Medical Center Dr, Wilmington, NC 28401-7506 | 2006-07-17 |
| 1699154880 | Wilmington Family Eye Care LLC | Clinic/Center | 801 E Newport Pike, Wilmington, DE 19804-1920 | 2015-05-21 |
| 1528454683 | Greenville As, LLC | Clinic/Center | 3801 Kennett Pike, E126, Wilmington, DE 19807-2321 | 2015-04-15 |
| 1215278726 | Family Eye Care, LLC | Clinic/Center | 410 Foulk Rd, Suite 102, Wilmington, DE 19803-3820 | 2013-03-07 |
| 1447406327 | Azalea Coast Plastic Surgery, Pa | Clinic/Center | 1604 Physicians Dr, Suite 103, Wilmington, NC 28401-7362 | 2008-08-12 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.