PETERKIN AND ASSOCIATES INC. NPI 1376501973

NPI Information

NPI: 1376501973
Provider Name: PETERKIN AND ASSOCIATES, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
131 HAY STREET
SUITE 201
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 323-1817
Get Directions

PETERKIN AND ASSOCIATES, INC. is a mental health (including community mental health center) clinic center in Fayetteville, NC. PETERKIN AND ASSOCIATES, INC. NPI is 1376501973. The provider is registered as an organization entity type.

The provider's business location address is:

131 HAY STREET
SUITE 201
FAYETTEVILLE, NC
ZIP 28301-649
Phone: (910) 323-1817
Fax: (910) 323-2607

The provider's authorized official is Alice D. Smith .
The authorized official title is Executive Director and has the following contact phone number (910) 323-1817.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 1/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		NORTH CAROLINA	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		NORTH CAROLINA	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	NORTH CAROLINA	No
4	324500000X	Substance Abuse Rehabilitation Facility		NORTH CAROLINA	No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	8300766G	MEDICAID	NORTH CAROLINA
2	8300766	MEDICAID	NORTH CAROLINA
3	8300766J	MEDICAID	NORTH CAROLINA
4	8300766A	MEDICAID	NORTH CAROLINA
5	8300766Q	MEDICAID	NORTH CAROLINA
6	8300766B	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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