UNIVERSAL MENTAL HEALTH SERVICES, INC (NPI# 1851519557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851519557 |
| Entity Type | Organization |
| Organization Name | UNIVERSAL MENTAL HEALTH SERVICES, INC |
| Practice Address |
210 Northgate Park Dr Winston Salem NC 27106-3480 |
| Mailing Address |
839 Wilkesboro Blvd Lenoir NC 28645-4612 |
| Practice Telephone | 3368968188 |
| Practice Fax Number | 3368968190 |
| Mailing Telephone | 8287592228 |
| Mailing Fax Number | 8287590159 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | BROOK PHILLIPS (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8287594064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5906541 | 05 | |
| NC | 6006090 | 05 | |
| NC | 8302028B | 05 | |
| NC | 8302028H | 05 | |
| NC | 8702085 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 510 Northgate Park Dr, Winston Salem, NC 271063486 | 3368968188 | 3368968190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326518978 | Universal Mental Health Services, Inc | In Home Supportive Care | 7803 Green Mill Dr, Raleigh, NC 27616-8387 | 2018-11-27 |
| 1154553600 | Universal Mental Health Services, Inc | Case Management | 1220 N Flint St, Lincolnton, NC 28092-5239 | 2009-08-18 |
| 1306003926 | Universal Mental Health Services, Inc | Case Management | 913b S Main St, Burlington, NC 27215-5756 | 2008-05-21 |
| 1902089410 | Universal Mental Health Services, Inc | Case Management | 642 N Spence Ave, Goldsboro, NC 27534-4233 | 2007-12-07 |
| 1750564258 | Universal Mental Health Services, Inc | Community/Behavioral Health | 930 Tate Blvd Se, Suite 106, Hickory, NC 28602-4033 | 2007-12-07 |
| 1184113508 | Universal Mental Health Services, Inc | Community/Behavioral Health | 901 Stennis Way, Durham, NC 27703-4777 | 2018-05-02 |
| 1023408754 | Universal Mental Health Services, Inc | In Home Supportive Care | 7313 Fox Rd, Raleigh, NC 27616-6349 | 2015-02-03 |
| 1164784203 | Universal Mental Health Services, Inc | Community/Behavioral Health | 839 Wilkesboro Blvd Ne, Lenoir, NC 28645-4612 | 2012-06-14 |
| 1649582339 | Universal Mental Health Services, Inc | Community/Behavioral Health | 839 Wilkesboro Blvd Ne, Lenoir, NC 28645-4612 | 2010-07-09 |
| 1558683599 | Universal Mental Health Services, Inc | Case Management | 3807 Wrightsville Ave, Unit 32, Wilmington, NC 28403-8441 | 2010-02-18 |
| Street Address |
210 NORTHGATE PARK DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106-3480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489529 | It Takes A Village Residential Care LLC | Community/Behavioral Health | 5008 Butterfield Dr, Winston Salem, NC 27105-3344 | 2020-02-17 |
| 1265070890 | Monarch | Community/Behavioral Health | 2680 Grosvenor Pl Apt 1, Winston Salem, NC 27106-5244 | 2019-12-13 |
| 1457810491 | Marilyn Marie Holder | Community/Behavioral Health | 3215 Linda Cir, Winston Salem, NC 27106-3023 | 2019-03-19 |
| 1306362017 | The Gracen Foundation | Community/Behavioral Health | 1140 Old Hollow Rd, Winston Salem, NC 27105-8709 | 2017-08-15 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| 1962940601 | Kenya Thornton | Community/Behavioral Health | 1225 East 5th, Suite 100, Winston Salem, NC 27101 | 2017-02-02 |
| 1881076446 | Monarch | Community/Behavioral Health | 967 Salisbury Ridge Rd, Winston Salem, NC 27127-3709 | 2015-06-19 |
| 1487032249 | Monarch | Community/Behavioral Health | 2844 Reynolda Rd, Winston Salem, NC 27106-3102 | 2015-05-13 |
| 1467839696 | Aria Health LLC | Community/Behavioral Health | 5312 Summit Heights Dr, Winston Salem, NC 27104-4479 | 2015-04-27 |
| 1194128629 | Valerie Benton Center | Community/Behavioral Health | 8 W 3rd St Ste 220, Winston Salem, NC 27101-3977 | 2014-09-29 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
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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.