DAYMARK RECOVERY SERVICES INC (NPI# 1922533488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922533488 |
| Entity Type | Organization |
| Organization Name | DAYMARK RECOVERY SERVICES INC |
| Practice Address |
518 Signal Hill Drive Ext Statesville NC 28625 |
| Mailing Address |
284 Executive Park Dr Suite 100 Concord NC 28025-1831 |
| Practice Telephone | 7048731114 |
| Practice Fax Number | 7048739917 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2018-06-12 |
| Authorized Official Name | MR. BILLY RAY WEST JR. (CEO PRESIDENT) |
| Authorized Official Telephone | 7049391100 |
| Authorized Official Credential | MSW,LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790311835 | Daymark Recovery Services Inc | Community/Behavioral Health | 523 N Us Hwy 1, Suite B, Rockingham, NC 28379 | 2020-03-20 |
| 1144790965 | Daymark Recovery Services Inc | Community/Behavioral Health | 110 W Walker Ave Fl 1, Asheboro, NC 27203-6760 | 2018-12-05 |
| 1073035804 | Daymark Recovery Services Inc | Community/Behavioral Health | 2986 Traphill Rd, Classrooms 179, 180, 181, Hays, NC 28635-9386 | 2017-07-13 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1134654601 | Daymark Recovery Services Inc | Counselor | 1104b S Main St, Lexington, NC 27292-3134 | 2017-04-21 |
| 1942759030 | Daymark Recovery Services Inc | Community/Behavioral Health | 190 Mulberry School Rd, Classrooms 139, 141, N Wilkesboro, NC 28659-9112 | 2016-09-29 |
| 1396291035 | Daymark Recovery Services Inc | Psychiatry & Neurology | 109 Goose Rock Ct, Holly Springs, NC 27540-7933 | 2016-09-01 |
| 1952759011 | Daymark Recovery Services Inc | Community/Behavioral Health | 1677 N Nc Highway 16, Classrooms 701,702,703, Wilkesboro, NC 28697-8324 | 2016-05-31 |
| 1942666334 | Daymark Recovery Services Inc | Psychiatry & Neurology | 127 N Tryon St Unit 516, Charlotte, NC 28202-2194 | 2016-01-14 |
| 1417321159 | Daymark Recovery Services Inc | Psychiatry & Neurology | 821 N Bragg Ave, Lookout Mountain, TN 37350-1003 | 2015-11-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DAYMARK RECOVERY SERVICES INC | 360 Beech St, Newland, NC 28657-9670 |
| Street Address |
518 SIGNAL HILL DRIVE EXT |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144366410 | Lucinda J. Hammond | Counselor | 518 Signal Hill Drive Ext, Statesville, NC 28625 | 2007-01-30 |
| 1376194191 | Anna Hines | Counselor | 518 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-09-23 |
| 1386128445 | David Alexander Jamsky Pollack | Counselor | 518 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2018-09-24 |
| 1336640945 | Daymark Recovery Services Inc | Nurse Practitioner | 518 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2018-02-28 |
| 1982134698 | Lisa Michelle Johnson | Social Worker | 518 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2017-06-14 |
| 1093247546 | Gary Lynn Marshall | Counselor | 518 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2017-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| 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 |
|---|---|---|---|---|
| 1477058899 | Life Journey Care | Community/Behavioral Health | 898 River Hill Rd, Statesville, NC 28625-9112 | 2018-03-27 |
| 1316359961 | Winford Brown Ramseur & Assoc | Community/Behavioral Health | 132 Court St, Statesville, NC 28677-5803 | 2014-05-29 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1154602886 | Rha Health Services Nc, LLC | Community/Behavioral Health | 148 James Farm Rd, Statesville, NC 28625-2707 | 2011-09-08 |
| 1609157338 | Rha Health Services Nc, LLC | Community/Behavioral Health | 3329 Winchester Ln, Statesville, NC 28625-4546 | 2011-09-08 |
| 1427339159 | Rha Health Services Nc, LLC | Community/Behavioral Health | 335 N Greenbriar Rd, Statesville, NC 28625-4536 | 2011-09-08 |
| 1518248244 | Rha Health Services Nc, LLC | Community/Behavioral Health | 303 Saint Andrews Rd, Statesville, NC 28625-4658 | 2011-09-08 |
| 1659514636 | Cnc Access Inc | Community/Behavioral Health | 110 Stockton St, Statesville, NC 28677-5253 | 2009-04-07 |
| 1891936076 | Paths To Success | Community/Behavioral Health | 215 S Tradd St, Statesville, NC 28677-5859 | 2009-03-17 |
| 1780850685 | Barium Springs Home for Children | Community/Behavioral Health | 211 Barium Springs Drive, Stultz Building Therapeutic Foster Care, Statesville, NC 28677 | 2008-05-01 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
Please comment or provide details below to improve the information on DAYMARK RECOVERY SERVICES INC.
| 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.