ALEXANDER YOUTH NETWORK


Address: 1540 Purdue Dr, Suite, Fayetteville, NC 28303-5509
Phone: 7043668712

ALEXANDER YOUTH NETWORK (NPI# 1902179294) 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) 1902179294
Entity Type Organization
Organization Name ALEXANDER YOUTH NETWORK
Practice Address 1540 Purdue Dr
Suite
Fayetteville
NC 28303-5509
Mailing Address 6220 Thermal Rd
Charlotte
NC 28211-5630
Practice Telephone 7043668712
Practice Fax Number 7043628464
Mailing Telephone 7043668712
Mailing Fax Number 7043628464
Enumeration Date 2012-02-16
Last Update Date 2015-06-10
Authorized Official Name MR. CRAIG BASS (CEO)
Authorized Official Telephone 7043668712
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1619510021 Alexander Youth Network Community/Behavioral Health 398 Owen Road, Rooms #616 & 618, Lexington, NC 27292 2019-10-18
1982246401 Alexander Youth Network Community/Behavioral Health 2061 E Holly Grove Rd, Trailers #11 & #12, Lexington, NC 27292-9795 2019-10-16
1649831470 Alexander Youth Network Community/Behavioral Health 1601 Huffine Mill Rd Bldg C, Greensboro, NC 27405-5509 2019-06-24
1316507551 Alexander Youth Network Community/Behavioral Health 309 Concord St Ste 101&201, Greensboro, NC 27406-3661 2019-06-19
1740840990 Alexander Youth Network Psychiatric Residential Treatment Facility 1601 Huffine Mill Rd., Bldg B, Greensboro, NC 27405-5509 2019-06-19
1073173340 Alexander Youth Network Community/Behavioral Health 155 Northpoint Ave Ste 210, High Point, NC 27262-7738 2019-06-18
1386128031 Alexander Youth Network Community/Behavioral Health 2115 Hope Mills Rd, Fayetteville, NC 28304-4256 2018-09-19
1780174995 Alexander Youth Network Community/Behavioral Health 401 Liberty Dr, Thomasville, NC 27360-4855 2018-05-14
1578067146 Alexander Youth Network Psychiatric Residential Treatment Facility 6220e Thermal Rd, Charlotte, NC 28211-5630 2018-03-20
1811497639 Alexander Youth Network Community/Behavioral Health 1608 Camden Rd, Rooms #16 & #17, Fayetteville, NC 28306-1734 2018-02-19

Office Location

Street Address 1540 PURDUE DR
SUITE
City FAYETTEVILLE
State NC
Zip Code 28303-5509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982646352 Meisha Kama Abbasinejad Physical Medicine & Rehabilitation 1540 Purdue Dr, Ste. 200, Fayetteville, NC 28303-5509 2006-06-12
1942660352 Five Points Healthcare of Nc, LLC Home Health 1540 Purdue Dr, Suite 302, Fayetteville, NC 28303-5509 2016-02-26
1245621655 Angel Morgan Social Worker 1540 Purdue Dr, Fayetteville, NC 28303 2015-02-08
1538586094 Dawn Staten Drakeford Counselor 1540 Purdue Dr, Suite 300, Fayetteville, NC 28303-5509 2014-03-23
1790049187 Heidi Kathryn Vance Counselor 1540 Purdue Dr, Suite 200, Fayetteville, NC 28303-5509 2012-06-29
1740584853 Peter Theodoros Kalogerinis Physician Assistant 1540 Purdue Dr, Suite 200, Fayetteville, NC 28303-5509 2011-01-04
1528380896 Stephanie Dawn Mcgrath Counselor 1540 Purdue Dr, Fayetteville, NC 28303-5509 2010-02-26
1982939104 Kim Young Psychologist 1540 Purdue Dr, Suite 300, Fayetteville, NC 28303-5509 2009-10-06
1720237977 Cheryl Lynn Gershey Nurse Practitioner 1540 Purdue Dr, Suite 101, Fayetteville, NC 28303-5509 2008-09-11
1881750347 Suzanne Lenore Walker Counselor 1540 Purdue Dr, Suite 100, Fayetteville, NC 28303-5509 2006-12-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801404496 Matthew Pace Physician Assistant Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 2020-07-20
1952920449 Vonetta Bethea Jackson Social Worker 391 Wagoner Drive, Fayetteville, NC 28303 2020-04-14
1932746229 Julie Harriss Specialist/Technologist Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 2019-12-05
1235780354 Helen Delores Johnson Technician 261 Pierron Dr, Fayetteville, NC 28303 2019-09-20
1922655075 Andrea Margaret Hutnam Technician 714 Shortridge Rd, Fayetteville, NC 28303 2019-08-23
1225695273 Breona Lister Dental Hygienist 38 17 Gruber Rd, Fort Bragg, NC 28303 2019-05-24
1780148957 Brian K Cox Sr. Occupational Therapy Assistant 5300 Ramsey St, Fayetteville, NC 28303 2019-01-22
1730670902 Michael Sadtler Counselor 804 Stamper Rd Ste 101, Fayetteville, NC 28303 2018-05-23
1104320399 Tia Porterfield Counselor 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 2018-03-21
1154835577 Jessica Bass Bosworth Psychologist 3415 Youngstown Dr, Fayetteville, NC 28303 2017-11-21
Find all providers in zip 28303

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
1528696796 Faith Springs Eternal (fase), Pllc Community/Behavioral Health 2537 Gray Goose Loop, Fayetteville, NC 28306-3550 2020-04-01
1134684392 Carolina Outreach, LLC Community/Behavioral Health 324 Person St, Fayetteville, NC 28301-5736 2019-02-01
1124591094 Changing Places Therapeutic Center, Company Community/Behavioral Health 1044 Bragg Blvd Ste B, Fayetteville, NC 28301-4512 2019-01-03
1538632518 Benevolent Counseling, Pllc Community/Behavioral Health 2929 Breezewood Ave Ste 203, Fayetteville, NC 28303-5357 2019-01-02
1386128031 Alexander Youth Network Community/Behavioral Health 2115 Hope Mills Rd, Fayetteville, NC 28304-4256 2018-09-19
1811497639 Alexander Youth Network Community/Behavioral Health 1608 Camden Rd, Rooms #16 & #17, Fayetteville, NC 28306-1734 2018-02-19
1629578851 Jeanette Bostick Community/Behavioral Health 1628 Turkey Run, Fayetteville, NC 28312-7643 2018-02-14
1942718325 A Mother's Pursuit, LLC Community/Behavioral Health 511 N Reilly Rd Ste A, Fayetteville, NC 28303-2440 2018-01-18
1992213771 Deborah A Atkinson Phd Pllc Community/Behavioral Health 501 Executive Pl Ste B, Fayetteville, NC 28305-5391 2018-01-16
1841739455 Aci Support Specialists Community/Behavioral Health 414 Snowhill Rd, Fayetteville, NC 28306-9073 2017-02-15
Find all providers in FAYETTEVILLE

Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 28303

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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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