CARDINAL CLINIC LLC (NPI# 1932263720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932263720 |
| Entity Type | Organization |
| Organization Name | CARDINAL CLINIC LLC |
| Practice Address |
160 Pinehurst Ave Ste J Southern Pines NC 28387-7078 |
| Mailing Address |
1540 Purdue Dr Ste 200 Fayetteville NC 28303-5510 |
| Practice Telephone | 9106937777 |
| Practice Fax Number | 9106931524 |
| Mailing Telephone | 9108678889 |
| Mailing Fax Number | 9104873061 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2009-05-20 |
| Authorized Official Name | TONY GARCIA (QM COORDINATOR) |
| Authorized Official Telephone | 9108640187 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300367 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275690042 | Cardinal Clinic LLC | Counselor | 704b Progress Place, Laurinburg, NC 28352-5545 | 2007-01-02 |
| 1689757809 | Cardinal Clinic LLC | Community Based Residential Treatment Facility, Mental Illness | 841 Circlewood Dr, Hamlet, NC 28345-4529 | 2006-10-23 |
| 1609925668 | Cardinal Clinic LLC | Counselor | 1540 Purdue Dr Ste 200, Fayetteville, NC 28303-5510 | 2007-01-09 |
| 1982761250 | Cardinal Clinic LLC | Counselor | 1540 Purdue Dr Ste 200, Fayetteville, NC 28303-5510 | 2007-01-03 |
| Street Address |
160 PINEHURST AVE STE J |
| City | SOUTHERN PINES |
| State | NC |
| Zip Code | 28387-7078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205854825 | Gail Ann Vincent | Psychologist | 160 Pinehurst Ave Ste J, Southern Pines, NC 28387-7078 | 2006-07-18 |
| 1841521937 | Jaime Laine Jenkins | Counselor | 160 Pinehurst Ave Ste J, Southern Pines, NC 28387-7078 | 2010-01-29 |
| 1871627398 | Sonya Bennett Armistead | Social Worker | 160 Pinehurst Ave Ste J, Southern Pines, NC 28387-7078 | 2007-03-15 |
| 1679655609 | Francis Gerald Peterson | Social Worker | 160 Pinehurst Ave Ste J, Southern Pines, NC 28387-7078 | 2006-10-19 |
| 1386725018 | M Kay Porter | Marriage & Family Therapist | 160 Pinehurst Ave Ste J, Southern Pines, NC 28387-7078 | 2006-10-18 |
| 1629168257 | Kenneth Stewart | Social Worker | 160 Pinehurst Ave Ste J, Southern Pines, NC 28387-7078 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861972028 | Wright and Associates X Dds Pa | Dentist | 10677 Nc Hwy 15-501, Southern Pines, NC 28387 | 2018-08-17 |
| 1821507294 | Brooke Ashley Thomas | Physical Therapist | 275 Pinehurst Ave Suite B, Southern Pines, NC 28387 | 2017-09-28 |
| 1497208987 | Laura Permelia Jackson | Specialist/Technologist | 3300 Airport Road, Southern Pines, NC 28387 | 2016-08-01 |
| 1164860417 | Monarch | Community/Behavioral Health | 1662 Richards St, Southern Pines, NC 28387 | 2013-06-10 |
| 1619313202 | Nicole Jacobs | Psychiatry & Neurology | 195 West Illinois Avenue, Attn: April Smith, Southern Pines, NC 28387 | 2013-05-22 |
| 1932458395 | Heather N Dunning | Social Worker | 230 Murray Hill Rd, Southern Pines, NC 28387 | 2012-08-31 |
| 1487948451 | Hugh Perry Gayman Jr. | Physical Therapist | 103 Gossman Dr, Southern Pines, NC 28387 | 2011-06-07 |
| 1083919245 | John Adam Petty | Chiropractor | 1295 Old Us 1, Suite F, Southern Pines, NC 28387 | 2011-01-20 |
| 1962704775 | Specialty Pharmacy-southern Pines LLC | Pharmacy | 735 S. Bennett St., Southern Pines, NC 28387 | 2010-11-30 |
| 1922317080 | At Home Senior Services, Inc. | Home Health | 340 Commerce Avenue, Suite 14-a Yadkin Plaza, Southern Pines, NC 28387 | 2010-10-06 |
| Find all providers in zip 28387 | ||||
| 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 |
|---|---|---|---|---|
| 1932510310 | Makin' Choices, Inc. | Community/Behavioral Health | 655 S Stephens St, Southern Pines, NC 28387-4452 | 2014-05-19 |
| 1356752729 | Makin' Choices, Inc. | Community/Behavioral Health | 2215 E Indiana Ave, Southern Pines, NC 28387-7407 | 2014-05-19 |
| 1164860417 | Monarch | Community/Behavioral Health | 1662 Richards St, Southern Pines, NC 28387 | 2013-06-10 |
| 1497061451 | E Squared Community Services LLC | Community/Behavioral Health | 231 W Pennsylvania Ave, Southern Pines, NC 28387-5430 | 2010-08-27 |
| 1053631655 | Monarch | Community/Behavioral Health | 185 Oak Dr, Southern Pines, NC 28387-2205 | 2010-06-04 |
| 1508186198 | Monarch | Community/Behavioral Health | 335 W Connecticut Ave, Southern Pines, NC 28387-4701 | 2010-06-04 |
| 1427378025 | Monarch | Community/Behavioral Health | 340 E Pennsylvania Ave, Southern Pines, NC 28387-6128 | 2010-06-04 |
| 1093948358 | National Mentor Healthcare, LLC | Community/Behavioral Health | 250 Voit Gilmore Rd, Southern Pines, NC 28387-4332 | 2009-09-02 |
| 1487884615 | Apex Business Inc. | Community/Behavioral Health | 1292 W Pennsylvania Ave Ste A, Southern Pines, NC 28387-4647 | 2009-07-22 |
| 1396993440 | Therapeutic Alternatives, Inc. | Community/Behavioral Health | 1295 Old Us Highway 1 S, Southern Pines, NC 28387-6347 | 2008-09-03 |
| Find all providers in SOUTHERN PINES | ||||
| City | SOUTHERN PINES |
| Zip Code | 28387 |
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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.