CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. (NPI# 1578996252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578996252 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. |
| Other Organization Name | COMMUNITY MENTAL HEALTH CENTER AT CAPE FEAR VALLEY |
| Practice Address |
711 Executive Pl, 4th Floor Fayetteville NC 28305-5193 |
| Mailing Address |
Po Box 40908 Attn: Managed Care Planning Fayetteville NC 28309-0908 |
| Practice Telephone | 9106153333 |
| Practice Fax Number | 9106159765 |
| Mailing Telephone | 9106156949 |
| Mailing Fax Number | 9106159761 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2017-01-30 |
| Authorized Official Name | MR. JOSEPH BART FISER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9106155573 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Community Mental Health Center at Cape Fear Valley | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700287869 | Cumberland County Hospital System, Inc. | Internal Medicine | 1638 Owen Dr, Attn: Managed Care Planning, Fayetteville, NC 28304-3424 | 2014-09-09 |
| 1245661701 | Cumberland County Hospital System, Inc. | Internal Medicine | 6387 Ramsey Street, Suite 140, Fayetteville, NC 28311 | 2013-12-10 |
| 1386084671 | Cumberland County Hospital System, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2153 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3681 | 2013-07-01 |
| 1881946242 | Cumberland County Hospital System, Inc. | Clinic/Center | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2012-10-10 |
| 1548510969 | Cumberland County Hospital System, Inc. | Specialist | 4140 Ferncreek Dr, Suite 601, Fayetteville, NC 28314-2563 | 2012-09-13 |
| 1356565543 | Cumberland County Hospital System, Inc. | Audiologist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2007-04-12 |
| 1457575649 | Cumberland County Hospital System, Inc. | Case Manager/Care Coordinator | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2007-04-12 |
| 1992709810 | Cumberland County Hospital System, Inc. | Counselor | 3425 Melrose Rd, Fayetteville, NC 28304-1608 | 2005-06-09 |
| 1639172869 | Cumberland County Hospital System, Inc. | General Acute Care Hospital | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2005-05-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Cumberland County Hospital System, Inc. | 1638 Owen Dr, Fayetteville, NC 28304 |
| Street Address |
711 EXECUTIVE PL, 4TH FLOOR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28305-5193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437637733 | Shannon S Wiggins | Social Worker | 2525 Raeford Rd Ste A, Fayetteville, NC 28305 | 2018-07-30 |
| 1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
| 1336533116 | Avalon Counseling Services Pa | Counselor | 916 B Arsenal Ave, Fayetteville, NC 28305 | 2015-03-19 |
| 1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
| 1174879423 | Lynette Maxwell Pierce | Dentist | 2537-b Raeford Rd, Fayetteville, NC 28305 | 2012-07-24 |
| 1356640973 | Charlene Jones | Social Worker | 560 Lambert St, Fayetteville, NC 28305 | 2011-03-22 |
| 1659518173 | Christine R Campbell | Speech-Language Pathologist | 2401 Roberson Street, Fayettville, NC 28305 | 2009-01-21 |
| 1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
| 1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
| 1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
| Find all providers in zip 28305 | ||||
| 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 |
|---|---|---|---|---|
| 1609316694 | Suzanne Nicholas LLC | Psychiatry & Neurology | 2224 Riverfront Ln, Fayetteville, AR 72703-9527 | 2017-02-24 |
| 1417310491 | Murray Fork Clinic, PC | Psychiatry & Neurology | 6020 Morganton Road, Fayetteville, NC 28314-1352 | 2016-03-29 |
| 1003225491 | Johari Family Services, LLC | Psychiatry & Neurology | 701 Whitfield St, Fayetteville, NC 28306-1617 | 2014-08-11 |
| 1609154509 | Saguaro Group LLC | Psychiatry & Neurology | 2800 Breezewood Drive, Ste 100, Fayetteville, NC 28303-5282 | 2011-07-26 |
| 1699065110 | Jacquelyn Rae Lange-halley | Psychiatry & Neurology | 2580 E Joyce Blvd Ste 1, Fayetteville, AR 72703-3924 | 2011-04-18 |
| 1124343918 | Dorothee S Mecum | Psychiatry & Neurology | 28 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2010-04-05 |
| 1922269018 | Kevin M Lamm | Psychiatry & Neurology | 1724 Roxie Avenue, Fayetteville, NC 28304 | 2008-06-20 |
| 1780871152 | Atul Kantesaria Md Pllc | Psychiatry & Neurology | 105 Hunter Cir, Fayetteville, NC 28304-3407 | 2007-10-01 |
| 1942496005 | James Robert Parks | Psychiatry & Neurology | 102 E Sunbridge Dr, Suite 1, Fayetteville, AR 72703-2830 | 2007-09-21 |
| 1144353699 | Trevor Nagib Iskander | Psychiatry & Neurology | 280 Salt Springs St, Fayetteville, NY 13066-2258 | 2007-03-13 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28305 |
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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.