PSYCHOTHERAPEUTIC SERVICES, INC


Address: 2260 S. Church St, Suite 303, Burlington, NC 27215
Phone: 3365386990

PSYCHOTHERAPEUTIC SERVICES, INC (NPI# 1649341488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649341488
Entity Type Organization
Organization Name PSYCHOTHERAPEUTIC SERVICES, INC
Practice Address 2260 S. Church St
Suite 303
Burlington
NC 27215
Mailing Address 2260 S Church St
Suite 303
Burlington
NC 27215
Practice Telephone 3365386990
Practice Fax Number 3365386991
Mailing Telephone 4107789114
Mailing Fax Number 4107787988
Enumeration Date 2006-11-13
Last Update Date 2020-10-22
Authorized Official Name MARCIA LYNN CLENDANIEL (BILLING MANAGER)
Authorized Official Telephone 4108102465
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TP2701X Psychologist
Specialization: Group Psychotherapy
231369010 NC Behavioral Health & Social Service Providers
Y 251S00000X Community/Behavioral Health ========= NC Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NC GUILFORD ACTT 8301699A 01
NC GUILFORD CST 8301699V 01
NC 3410045 05
NC 8300588 05
NC ASSESSTIVE COMMUNITY TX 8300588A 01
NC ALAM CST 8300588V 01
NC PITT ACTT 8301181A 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1871636506 Psychotherapeutic Services, Inc Psychiatry & Neurology 1900 Allen Rd Ste F, Greenville, NC 27834-0038 2007-02-14
1629111422 Psychotherapeutic Services, Inc Psychiatry & Neurology 1990 Allen Rd Ste F, Greenville, NC 27834-0058 2007-02-14
1891989992 Psychotherapeutic Services, Inc Psychiatry & Neurology 3 Centerview Dr, Greensboro, NC 27407-3725 2007-08-31
1164616264 Psychotherapeutic Services, Inc Psychiatry & Neurology 1990 Allen Rd, Suite F, Greenville, NC 27834-0058 2007-08-31
1588707376 Psychotherapeutic Services, Inc Psychiatry & Neurology 3 Centerview Dr, Hickory Building Suite 150, Greensboro, NC 27407-3725 2007-02-14
1205979184 Psychotherapeutic Services, Inc Psychiatry & Neurology 3 Centerview Dr, Hickory Building Suite 150, Greensboro, NC 27407-3725 2007-02-14
1417090218 Psychotherapeutic Services, Inc Psychiatry & Neurology 1990 Allen Rd Ste F, Greenville, NC 27834-0058 2007-02-14
1326181124 Psychotherapeutic Services, Inc Psychiatry & Neurology 1990 Allen Rd Ste F, Greenville, NC 27834-0058 2007-02-14
1922141779 Psychotherapeutic Services, Inc Psychiatry & Neurology 1990 Allen Rd Ste F, Greenville, NC 27834-0058 2007-02-14
1770626418 Psychotherapeutic Services, Inc Psychiatry & Neurology 1990 Allen Rd Ste F, Greenville, NC 27834-0058 2007-02-14

Office Location

Street Address 2260 S. CHURCH ST
SUITE 303
City BURLINGTON
State NC
Zip Code 27215

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790979896 Psychotherapeutic Services Psychiatry & Neurology 2260 S. Church St, Suite 303, Burlington, NC 27215 2007-08-31
1679616460 Psychotherapeutic Services Psychiatry & Neurology 2260 S. Church St, Suite 303, Burlington, NC 27215 2007-02-14
1366585135 Psychotherapeutic Services Psychologist 2260 S. Church St, Suite 303, Burlington, NC 27215 2007-02-14
1174666960 Psychotherapeutic Services Psychiatry & Neurology 2260 S. Church St, Suite 303, Burlington, NC 27215 2007-02-14
1790828598 Psychotherapeutic Services Psychiatry & Neurology 2260 S. Church St, Suite 303, Burlington, NC 27215 2007-02-14
1528101300 Psychotherapeutic Services Psychiatry & Neurology 2260 S. Church St, Suite 303, Burlington, NC 27215 2007-02-14
1174666929 Psychotherapeutic Services Psychiatry & Neurology 2260 S. Church St, Suite 303, Burlington, NC 27215 2007-02-14
1538209523 Psychotherapeutic Services Psychiatry & Neurology 2260 S. Church St, Suite 303, Burlington, NC 27215 2007-02-07
1013057009 Psychotherapeutic Services Psychologist 2260 S. Church St, Suite 303, Burlington, NC 27215 2007-02-07
1023179579 Psychotherapeutic Services Psychologist 2260 S. Church St, Suite 303, Burlington, NC 27215 2006-12-12
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669086948 October Road, Inc. Community/Behavioral Health 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 2020-09-03
1306480330 Strategic Interventions, LLC Community/Behavioral Health 408 Alamance Rd Ste D, Burlington, NC 27215-6178 2019-11-02
1063061877 Strategic Interventions, Inc Community/Behavioral Health 2815 S Church St # 100, Burlington, NC 27215-5105 2019-09-05
1407332893 Association of Africans Living In Vermont Community/Behavioral Health 20 Allen St Fl 3, Burlington, VT 05401-4344 2018-07-18
1639625460 Wings of Hope, LLC Community/Behavioral Health 382 W Harden Street, Suite 3, Burlington, NC 27215-7516 2016-08-31
1992251946 Creative Directions Inc. Community/Behavioral Health 1878 Abernathy Trl, Burlington, NC 27215-9462 2016-08-30
1093174914 Tears of An Addict, LLC Community/Behavioral Health 818 S Church St, Burlington, NC 27215-3814 2016-02-20
1164809398 A Step Above Rehabilitation, LLC Community/Behavioral Health 1029 Chapel Hill Rd, Burlington, NC 27215-6716 2015-04-27
1902207988 Pathways Vermont, Inc. Community/Behavioral Health 279 N Winooski Ave, Burlington, VT 05401-3620 2014-09-10
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Competitor

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City BURLINGTON
Zip Code 27215

Improve Information

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Dataset Information

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.

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