ADDICTIONCARE 101 (NPI# 1447725098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447725098 |
| Entity Type | Organization |
| Organization Name | ADDICTIONCARE 101 |
| Practice Address |
311 4 E Judges Road Wilmington NC 28405 |
| Practice Telephone | 9107916767 |
| Practice Fax Number | 9103992190 |
| Mailing Telephone | 9107916767 |
| Mailing Fax Number | 9103992190 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Authorized Official Name | WILLIAM BEASLEY (CHIEF OPERATING OFFICE) |
| Authorized Official Telephone | 9107916767 |
| Is Organization Subpart | Y |
| Parent Organization Name | ADDICTIONCARE 101 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| A101 | Doing Business As Name - Organization |
| Street Address |
311 4 E JUDGES ROAD |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
| 1659861649 | Brianna Jane Gausman | Physical Therapist | 6752 Parker Farm Dr Ste 1b, Wilmington, NC 28405 | 2018-05-15 |
| 1205346756 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 6427a Windmill Way, Wilmington, NC 28405 | 2017-10-10 |
| 1710345400 | Martha Arielle Walker | Physician Assistant | 6727 Parker Farm Dr, Wilmington, NC 28405 | 2016-02-09 |
| 1033549910 | Christine Urban Bruin | Psychologist | 510 Military Cutoff Rd., Suite 120, Wilmington, NC 28405 | 2013-11-14 |
| 1487083358 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 117 Spartan Road, Wilmington, NC 28405 | 2013-11-01 |
| 1487902334 | Carolina Vision Associates, Od, Pa | Optometrist | 5301 B Market St, Carolina Vison Associates, Od, Pa, Wilmington, NC 28405 | 2012-08-27 |
| 1568718328 | Cameron Nichole Ford | Occupational Therapy Assistant | 5004 Hunters Trl, Apt 5, Wilmington, NC 28405 | 2012-07-31 |
| 1881959534 | Ashley Brennen Cook | Speech-Language Pathologist | 4613 Trafalgar Rd, Wilmington, NC 28405 | 2012-07-09 |
| 1619268471 | Jona Marie Lamphier | Family Medicine | 6752 Rock Spring Rd Ste 320, Wilmington, NC 28405 | 2011-04-28 |
| Find all providers in zip 28405 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306821202 | Patrick David Martin | Psychiatry & Neurology | 1201 Medical Center Dr, Wilmington, NC 28401 | 2005-12-13 |
| 1902445182 | Jamie Elizabeth Mcginn | Psychiatry & Neurology | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2020-01-05 |
| 1326684259 | Life Integrative Medicine | Psychiatry & Neurology | 2018 Eastwood Rd, Wilmington, NC 28403-7228 | 2019-11-26 |
| 1689791097 | Gerald Thomas Mehalick | Psychiatry & Neurology | 500 West 10th St, Connections Community Support Programs, Inc., Wilmington, DE 19801 | 2007-03-23 |
| 1013083146 | Lionel Gregory Fernando | Psychiatry & Neurology | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2006-11-28 |
| 1366517153 | Birger Steven Bentsen | Psychiatry & Neurology | 1908 Meeting Ct, Wilmington, NC 28401-6631 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1942719950 | Peak Wellness Clinic Pllc | Psychiatry & Neurology | 5252 B N Sharon Amity Road, Charlotte, NC 28215 | 2017-09-21 |
| 1124446430 | Hien Ngoc Nguyen | Psychiatry & Neurology | 2172 N Salem St Ste 105, Apex, NC 27523-6457 | 2014-04-03 |
| 1467798520 | Sabina Benel | Psychiatry & Neurology | 5252b N Sharon Amity Rd, Charlotte, NC 28215-0053 | 2012-12-18 |
| 1518099910 | Nzinga Ajabu Harrison | Psychiatry & Neurology | 123 Professional Park Dr Ste 101, Mooresville, NC 28117-5516 | 2007-03-12 |
| 1962585513 | Elizabeth Shirley Stanton | Psychiatry & Neurology | 129 Mayo St, Hillsborough, NC 27278 | 2006-10-24 |
| 1548373525 | Marvin J Hoffert | Psychiatry & Neurology | 1011 Schaub Dr, Suite 201, Raleigh, NC 27606-1862 | 2006-08-16 |
| 1437162096 | Gregory Oran Dill | Psychiatry & Neurology | 932 Hendersonville Rd Ste 105c, Asheville, NC 28803-6628 | 2006-08-14 |
| 1538183942 | Gary G. Leonhardt | Psychiatry & Neurology | 203 Government Cir, Greenville, NC 27834-8198 | 2006-07-27 |
| 1578597365 | Judith Louise Hoffman | Psychiatry & Neurology | 283 Biltmore Ave, Asheville, NC 28801-4157 | 2006-07-10 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28405 |
Please comment or provide details below to improve the information on ADDICTIONCARE 101.
| 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.