SEQUEL TSI OF NORTH CAROLINA, LLC


Address: 2480 Hadley Mill Rd, Pittsboro, NC 27312-7832
Phone: 9195421104

SEQUEL TSI OF NORTH CAROLINA, LLC (NPI# 1679802458) 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) 1679802458
Entity Type Organization
Organization Name SEQUEL TSI OF NORTH CAROLINA, LLC
Practice Address 2480 Hadley Mill Rd
Pittsboro
NC 27312-7832
Mailing Address Po Box 1370
Pittsboro
NC 27312-1370
Practice Telephone 9195421104
Practice Fax Number 9195425565
Mailing Telephone 9195421104
Mailing Fax Number 9195425565
Enumeration Date 2009-12-08
Last Update Date 2009-12-08
Authorized Official Name JOHN STUPAK (PRESIDENT)
Authorized Official Telephone 2674198913
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities
Y 323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1558690453 Sequel Tsi of North Carolina, LLC Community/Behavioral Health 2480 Hadley Mill Rd, Pittsboro, NC 27312-7832 2009-12-24

Office Location

Street Address 2480 HADLEY MILL RD
City PITTSBORO
State NC
Zip Code 27312-7832

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497788665 Three Springs, Inc Residential Treatment Facility, Emotionally Disturbed Children 2480 Hadley Mill Rd, Pittsboro, NC 27312-7832 2006-07-09
1558690453 Sequel Tsi of North Carolina, LLC Community/Behavioral Health 2480 Hadley Mill Rd, Pittsboro, NC 27312-7832 2009-12-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205445814 Tanisha Baptist Home Health Aide 488 State Highway 87 N, Pittsboro, NC 27312 2020-07-29
1720648330 Merrill Jane Wood Counselor 222 Penny Lane, Pittsboro, NC 27312 2019-06-17
1225695083 Restored Family Care Custodial Care Facility 3116 New Hill Hollemen Rd., New Hill, NC 27312 2019-05-28
1417427055 Megan M Ribbing Nurse Practitioner 287 East St. Suite 221, Pittsboro, NC 27312 2018-11-27
1346726205 Clear Hearing Solutions IIi, LLC Audiologist-Hearing Aid Fitter 959 East Street, Suite A, Platinum Commons, Pittsboro, NC 27312 2018-07-13
1578056362 Veronica Zeugner Physical Therapist 75 U.S. Hwy 15/501, Pittsboro, NC 27312 2018-06-07
1528590759 Tracey King Occupational Therapist 50 Craggenmore Rd, Pittsboro, NC 27312 2017-03-28
1194196683 Pine Ridge of Pittsboro Primary Care LLC Clinic/Center 628-b Highway 64 East, Pittsboro, NC 27312 2015-10-09
1821489618 Melissa Tutwiler Physical Therapist 75 Freedom Parkway, Suite E, Pittsboro, NC 27312 2015-02-15
1013316041 Katherine Kennedy Physical Therapist 75 Freedom Parkway, Suite E, Pittsboro, NC 27312 2014-08-14
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Taxonomy Information

Taxonomy Code 323P00000X
Grouping Residential Treatment Facilities
Classification Psychiatric Residential Treatment Facility

Taxonomy Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740840990 Alexander Youth Network Psychiatric Residential Treatment Facility 1601 Huffine Mill Rd., Bldg B, Greensboro, NC 27405-5509 2019-06-19
1578067146 Alexander Youth Network Psychiatric Residential Treatment Facility 6220e Thermal Rd, Charlotte, NC 28211-5630 2018-03-20
1750827150 Stephen's Home Psychiatric Residential Treatment Facility 6214 Paylor St, Mebane, NC 27302-7020 2017-01-10
1013450055 Rwilliams Psychiatric Residential Treatment Facility 511 Tansy Dr, Charlotte, NC 28214-8832 2016-11-23
1891247490 Healing Community Adult Cre Psychiatric Residential Treatment Facility 55 Congress St, Asheville, NC 28801-4342 2016-10-30
1598219149 Equinox Rtc, LLC Psychiatric Residential Treatment Facility 2420 Middle Fork Rd, Hendersonville, NC 28792-1032 2016-08-12
1497128631 The Woodard Home Psychiatric Residential Treatment Facility 4100 Cherry Tree Dr, Monroe, NC 28110-9692 2015-11-10
1184096661 Canyon Hills Treatment Facility, LLC Psychiatric Residential Treatment Facility 769 Aberdeen Rd, Raeford, NC 28376-0029 2015-10-23
1891164174 Kearney Home Psychiatric Residential Treatment Facility 4408 Iyar Way, Wake Forest, NC 27587-4166 2015-09-17
1396111837 Mcguinn Home Psychiatric Residential Treatment Facility 16 Columbia Cir, Hendersonville, NC 28792-7005 2015-08-19
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Competitor

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City PITTSBORO
Zip Code 27312

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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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