KATAM INC (NPI# 1124051867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124051867 |
| Entity Type | Organization |
| Organization Name | KATAM INC |
| Other Organization Name | KATAM & ASSOCIATES INC |
| Practice Address |
731 Mcgilvary St Fayetteville NC 28303-5406 |
| Mailing Address |
Po Box 64955 Fayetteville NC 28306-0955 |
| Practice Telephone | 9106302105 |
| Mailing Telephone | 9106302105 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-04-02 |
| Authorized Official Name | MR. MARK ALLEN WEST (ADMINISTRATOR) |
| Authorized Official Telephone | 9106302105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603306 | 05 | |
| NC | 6603038 | 05 | |
| NC | 6604086 | 05 |
| Other Name | Type Code |
|---|---|
| Katam & Associates Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316074826 | Katam Inc | Community Based Residential Treatment Facility, Mental Illness | 731 Mcgilvary, Fayetteville, NC 28306-0955 | 2007-02-28 |
| 1730204330 | Katam Inc | Community/Behavioral Health | 731 Mcgilvary St, Fayetteville, NC 28304 | 2007-03-20 |
| 1710022694 | Katam Inc | Residential Treatment Facility, Emotionally Disturbed Children | 731 Mcgilvary St, Fayetteville, NC 28306-0955 | 2007-02-20 |
| Street Address |
731 MCGILVARY ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-5406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336321298 | Denise Downing Holmes | Counselor | 731 Mcgilvary St, Fayetteville, NC 28301-5470 | 2007-12-03 |
| 1730204330 | Katam Inc | Community/Behavioral Health | 731 Mcgilvary St, Fayetteville, NC 28304 | 2007-03-20 |
| 1710022694 | Katam Inc | Residential Treatment Facility, Emotionally Disturbed Children | 731 Mcgilvary St, Fayetteville, NC 28306-0955 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740528801 | Improving Life, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2305 Cleveland Ave, Fayetteville, NC 28312-9270 | 2013-01-24 |
| 1467620518 | I Can & Associates, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 421 Sparrow Dr, Fayetteville, NC 28306-8232 | 2008-02-12 |
| 1609051275 | Johari Family Services,llc | Residential Treatment Facility, Emotionally Disturbed Children | 511 Middle Rd, Fayetteville, NC 28312-5207 | 2008-01-02 |
| 1801070339 | I Can and Associates | Residential Treatment Facility, Emotionally Disturbed Children | 7237 Godfrey Dr, Fayetteville, NC 28303-2425 | 2007-12-19 |
| 1689856262 | Healthplus Therapeutic Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 108 Wolfpoint Dr, Fayetteville, NC 28311-9370 | 2007-12-05 |
| 1225223779 | Pearls Angel Care Inc | Residential Treatment Facility, Emotionally Disturbed Children | 231 Westlake Rd, Suite 202, Fayetteville, NC 28314-4861 | 2007-09-07 |
| 1063547701 | Ican & Associates, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6112 Louise St, Fayetteville, NC 28314-2719 | 2007-02-22 |
| 1417091703 | Murray Fork Home Care #2 (cramer House) | Residential Treatment Facility, Emotionally Disturbed Children | 2800 E Cramer Dr, Fayetteville, NC 28306-9325 | 2007-02-19 |
| 1528102803 | Murray Fork Home Care | Residential Treatment Facility, Emotionally Disturbed Children | 209 Murray Fork Dr, Fayetteville, NC 28314-0902 | 2007-02-19 |
| 1497899124 | Golden Opportunity Homes, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 5628 Birch Rd, Fayetteville, NC 28304-4118 | 2007-02-16 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
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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.