MBS RESTORATIVE CENTRE PLLC (NPI# 1679075824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679075824 |
| Entity Type | Organization |
| Organization Name | MBS RESTORATIVE CENTRE PLLC |
| Practice Address |
1140 Kildaire Farm Rd Ste 206 Cary NC 27511-4597 |
| Practice Telephone | 9196339403 |
| Practice Fax Number | 9196501218 |
| Mailing Telephone | 9196331218 |
| Mailing Fax Number | 9196501420 |
| Enumeration Date | 2018-03-04 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | DELVA DOUGLAS (OWNER) |
| Authorized Official Telephone | 9196339403 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 102L00000X | Psychoanalyst | Behavioral Health & Social Service Providers | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1140 KILDAIRE FARM RD STE 206 |
| City | CARY |
| State | NC |
| Zip Code | 27511-4597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902275324 | Delva Douglas | Social Worker | 1140 Kildaire Farm Rd Ste 206, Cary, NC 27511 | 2015-09-15 |
| 1932677911 | Renasha S Christmas | Social Worker | 1140 Kildaire Farm Rd Ste 206, Cary, NC 27511-4597 | 2018-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
| 1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
| 1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
| 1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
| 1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
| 1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
| 1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
| 1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
| Find all providers in zip 27511 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780126599 | Workplace Health Services, LLC | Clinic/Center | 3909 Three Oaks Rd, Cary, IL 60013-1804 | 2016-11-10 |
| 1407246788 | Kosiba Optometry Ltd. | Clinic/Center | 485 Bristol Way, Cary, IL 60013-3400 | 2015-01-26 |
| 1831493162 | Pathway Dietetics LLC | Clinic/Center | 415 Machelle Dr, Cary, IL 60013-2399 | 2010-12-30 |
| 1356847164 | Structural Chiropractic of North Carolina | Clinic/Center | 1125 Kildaire Farm Rd, Cary, NC 27511-4566 | 2018-04-02 |
| 1275996167 | Wake Wellness | Clinic/Center | 401 Keisler Dr, Cary, NC 27518-7084 | 2016-03-30 |
| 1922423490 | Cary Gastroenterology | Clinic/Center | 1000 Crescent Grn, Suite 102, Cary, NC 27518-8116 | 2014-02-20 |
| 1861826752 | Joseph Tooley Psychological | Clinic/Center | 106 Ridge View Dr, Suite D, Cary, NC 27511-6647 | 2013-08-27 |
| 1679914048 | Fellowship Health Resources, Inc | Clinic/Center | 222 E Chatham St, Cary, NC 27511-3458 | 2013-07-12 |
| 1831420785 | Swiss Spine Clinic Pllc | Clinic/Center | 3100 Nc Highway 55 Ste 204, Cary, NC 27519-8427 | 2010-01-15 |
| 1770732331 | Care Plastic Surgery, P.a. | Clinic/Center | 2001 Weston Pkwy, Cary, NC 27513-5512 | 2008-09-18 |
| Find all providers in CARY | ||||
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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.