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NOVA-IC INC. NPI 1477882249


NPI Information

NPI: 1477882249
Provider Name: NOVA-IC, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1031 WH SMITH BLVD
GREENVILLE, NC
ZIP 27834
Phone: (252) 493-6525
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NOVA-IC, INC. is a community behavioral health in Greenville, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. NOVA-IC, INC. NPI is 1477882249. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1031 WH SMITH BLVD
GREENVILLE, NC
ZIP 27834-052
Phone: (252) 493-6525
Fax: (855) 492-1625

The provider's authorized official is Tracey Pridgen .
The authorized official title is Cfo and has the following contact phone number (919) 734-8803.

The enumeration date for this NPI number is 12/8/2009 and was last updated on 9/29/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1102L00000XPsychoanalyst2518NORTH CAROLINANo
2103T00000XPsychologist0715NORTH CAROLINANo
31041C0700XSocial WorkerClinicalC005336NORTH CAROLINANo
41041C0700XSocial WorkerClinicalC004079NORTH CAROLINANo
5207Q00000XFamily Medicine34782NORTH CAROLINANo
6251S00000XCommunity/Behavioral HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16006439MEDICAIDNORTH 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.