PSYCHOTHERAPEUTIC COMMUNITY SERVICES ASSOC (NPI# 1568857688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568857688 |
| Entity Type | Organization |
| Organization Name | PSYCHOTHERAPEUTIC COMMUNITY SERVICES ASSOC |
| Other Organization Name | PSI |
| Practice Address |
400 W Main St Ste 501 Durham NC 27701-3295 |
| Practice Telephone | 9195308888 |
| Mailing Telephone | 9195308888 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | MARCIA LYNN CLENDANIEL (BILLING MANAGER) |
| Authorized Official Telephone | 4108102465 |
| Is Organization Subpart | Y |
| Parent Organization Name | 525089072 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 2662-A | NC | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| PSI | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457647521 | Psychotherapeutic Community Services Assoc | Counselor | 400 W Main St, Suite 501, Durham, NC 27701 | 2011-06-27 |
| Street Address |
400 W MAIN ST STE 501 |
| City | DURHAM |
| State | NC |
| Zip Code | 27701-3295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639536139 | Psychotherapeutic Services | Case Management | 400 W Main St Ste 501, Durham, NC 27701-3295 | 2016-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952956179 | Sa'naa Lenoir | Naturopath | 1213 Avondale Drive Suite 4, Durham, NC 27701 | 2019-08-05 |
| 1225682792 | Sherifat Balogun | Pharmacist | 406 Rigsbee Ave Suite 201, Durham, NC 27701 | 2019-08-01 |
| 1427575950 | Kristen Kesler Desena | Speech-Language Pathologist | 1105 Englewood Avenue, Durham, NC 27701 | 2017-08-25 |
| 1295255263 | Tiffany Claire Ashe | Social Worker | 331 W Main St Ste 308, Durham, NC 27701 | 2017-06-21 |
| 1265815096 | Colleen Hamman | Specialist/Technologist | 616 E Lawson St, Durham, NC 27701 | 2015-06-29 |
| 1366843286 | Gene Mcphaul | Counselor | 3545 Mayfair St, Durham, NC 27701 | 2014-09-10 |
| 1245652957 | Michelle Annette Underdue | Social Worker | 801 East Main Street, Suite 2-120, Durham, NC 27701 | 2014-01-15 |
| 1518306109 | Lincicome Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300-a Northwood Circle, Durham, NC 27701 | 2013-06-18 |
| 1669754693 | Ruffin Home 2 | Assisted Living Facility | 830 N. Mangum St., Durham, NC 27701 | 2011-09-15 |
| 1609192657 | Samaritan Health Center, Inc. | Clinic/Center | 507 E. Knox Street, Durham, NC 27701 | 2010-04-15 |
| Find all providers in zip 27701 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407304710 | Erfan Imeni Kashani D.d.s. Pllc | Preferred Provider Organization | 2609 N Duke St Ste 501, Durham, NC 27704-3019 | 2016-09-15 |
| 1902236961 | Enhancement Health Care, Inc. | Preferred Provider Organization | 2801 Darrow Rd, Durham, NC 27704-2417 | 2013-11-12 |
| 1164965372 | Duke Family Medicine | Preferred Provider Organization | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-11-21 |
| 1700218575 | Enhancement Health Care,inc | Preferred Provider Organization | 3326 Guess Rd, 104, Durham, NC 27705-2160 | 2013-08-05 |
| 1205268109 | Enhancement Health Care,inc | Preferred Provider Organization | 600 Audubon Lake Dr, Apt. 1a11, Durham, NC 27713-8530 | 2013-08-01 |
| 1144458225 | Privilege Care Plus Inc | Preferred Provider Organization | 908 Fayetteville St, Suite 104, Durham, NC 27701-3982 | 2009-06-26 |
| 1487805321 | Associated Family and Life Services, LLC | Preferred Provider Organization | 2144 Page Rd, Suite 204, Durham, NC 27703-5952 | 2008-10-09 |
| 1689861668 | Mqa Support Services LLC | Preferred Provider Organization | 201 W Main St, 302 E, Durham, NC 27701-3228 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299663 | Family Focused Network | Preferred Provider Organization | 5320 Wisbech Ct, Charlotte, NC 28215-5057 | 2016-12-07 |
| 1013362284 | Better Communities | Preferred Provider Organization | 2149 Valleygate Dr Ste 101, Fayetteville, NC 28304-3666 | 2016-04-25 |
| 1427411339 | Jordan C Poole | Preferred Provider Organization | 9 English Ivy Rd, Asheville, NC 28806-5514 | 2016-03-30 |
| 1528429479 | Elliott's Veteran Support Group | Preferred Provider Organization | 201 Strickland Dr, Princeville, NC 27886-9549 | 2016-03-18 |
| 1043646052 | Comfort Zone In-home Healthcare | Preferred Provider Organization | 2400 Wilkes St, High Point, NC 27260-8272 | 2013-09-23 |
| 1255779161 | Mitzi Elaine Phillips | Preferred Provider Organization | 6985 Nuggett Dr, Morganton, NC 28655-7994 | 2013-06-13 |
| 1669712063 | Neogenesis Foundation | Preferred Provider Organization | 3959 Sterling Pointe Dr, Winterville, NC 28590-5800 | 2013-02-21 |
| 1891058210 | Mcclain's Family Care Home #1 | Preferred Provider Organization | 5953 The Plaza, Charlotte, NC 28215-2451 | 2012-06-20 |
| 1720344674 | Devyne Inc | Preferred Provider Organization | 12246 Nc Highway 41 N, Lumberton, NC 28358-6892 | 2012-04-04 |
| 1649543802 | Springs Transition Home& Family Service | Preferred Provider Organization | 1801 N Tryon St Ste 603, Charlotte, NC 28206-2781 | 2012-02-20 |
| Find all providers with the same taxonomy | ||||
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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.