INTEGRATED CARE OF GREATER HICKORY, INC (NPI# 1962995837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962995837 |
| Entity Type | Organization |
| Organization Name | INTEGRATED CARE OF GREATER HICKORY, INC |
| Practice Address |
741 5th St Sw Hickory NC 28602 |
| Mailing Address |
741 5th St Sw Hickory NC 28602-3230 |
| Practice Telephone | 8283225915 |
| Mailing Telephone | 8283225915 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-15 |
| Authorized Official Name | MR. DOUGLAS DAVID BLAKEMAN (CHIEF ADMINISTRATION OFFICER) |
| Authorized Official Telephone | 8283225915 |
| Authorized Official Credential | RMA |
| 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 | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 251S00000X | Community/Behavioral Health | NC | Agencies | |
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8902716 | 05 | |
| NC | 8973845 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699268565 | Integrated Care of Greater Hickory, Inc | Family Medicine | 1228 N Flint St, Lincolnton, NC 28092 | 2018-06-14 |
| 1184118663 | Integrated Care of Greater Hickory, Inc | Counselor | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2018-06-19 |
| 1194219931 | Integrated Care of Greater Hickory, Inc | Family Medicine | 1228 N Flint St, Lincolnton, NC 28092-5239 | 2018-06-15 |
| 1235622101 | Integrated Care of Greater Hickory, Inc | Counselor | 741 5th St Sw, Hickory, NC 28602 | 2018-06-14 |
| 1679078836 | Integrated Care of Greater Hickory, Inc | Counselor | 741 5th St Sw, Hickory, NC 28602 | 2018-03-28 |
| 1366972325 | Integrated Care of Greater Hickory, Inc | Family Medicine | 350 E Parker Rd, Morganton, NC 28655 | 2017-06-13 |
| 1376600718 | Integrated Care of Greater Hickory, Inc | Counselor | 425 7th Ave Sw, Hickory, NC 28602 | 2007-01-03 |
| Street Address |
741 5TH ST SW |
| City | HICKORY |
| State | NC |
| Zip Code | 28602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861655623 | Supported Living Youth, Family and Children Services, Inc. | Community/Behavioral Health | 741 5th St Sw, Suite 16, Hickory, NC 28602-3230 | 2008-07-02 |
| 1235622101 | Integrated Care of Greater Hickory, Inc | Counselor | 741 5th St Sw, Hickory, NC 28602 | 2018-06-14 |
| 1679078836 | Integrated Care of Greater Hickory, Inc | Counselor | 741 5th St Sw, Hickory, NC 28602 | 2018-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
| Find all providers in zip 28602 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023034758 | Elizabeth Connell Henderson | Psychiatry & Neurology | 3848 County Road 24, Hickory, MS 39332-2630 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1447725098 | Addictioncare 101 | Psychiatry & Neurology | 311 4 E Judges Road, Wilmington, NC 28405 | 2018-10-10 |
| 1942719950 | Peak Wellness Clinic Pllc | Psychiatry & Neurology | 5252 B N Sharon Amity Road, Charlotte, NC 28215 | 2017-09-21 |
| 1124446430 | Hien Ngoc Nguyen | Psychiatry & Neurology | 2172 N Salem St Ste 105, Apex, NC 27523-6457 | 2014-04-03 |
| 1467798520 | Sabina Benel | Psychiatry & Neurology | 5252b N Sharon Amity Rd, Charlotte, NC 28215-0053 | 2012-12-18 |
| 1518099910 | Nzinga Ajabu Harrison | Psychiatry & Neurology | 123 Professional Park Dr Ste 101, Mooresville, NC 28117-5516 | 2007-03-12 |
| 1962585513 | Elizabeth Shirley Stanton | Psychiatry & Neurology | 129 Mayo St, Hillsborough, NC 27278 | 2006-10-24 |
| 1548373525 | Marvin J Hoffert | Psychiatry & Neurology | 1011 Schaub Dr, Suite 201, Raleigh, NC 27606-1862 | 2006-08-16 |
| 1437162096 | Gregory Oran Dill | Psychiatry & Neurology | 932 Hendersonville Rd Ste 105c, Asheville, NC 28803-6628 | 2006-08-14 |
| 1538183942 | Gary G. Leonhardt | Psychiatry & Neurology | 203 Government Cir, Greenville, NC 27834-8198 | 2006-07-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on INTEGRATED CARE OF GREATER HICKORY, 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.