COMMUNITY INNOVATIONS INC. NPI 1740350446

NPI Information

  • NPI: 1740350446
  • Provider Name: COMMUNITY INNOVATIONS, INC.
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Address: 1104 W. BROAD ST
    ELIZABETHTOWN, NC
    ZIP 28337
  • Phone: (910) 862-8363

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NPI Details

COMMUNITY INNOVATIONS, INC. is a psychiatry psychiatry neurology in Elizabethtown, NC. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. COMMUNITY INNOVATIONS, INC. NPI is 1740350446. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1104 W. BROAD ST
ELIZABETHTOWN, NC
ZIP 28337
Phone: (910) 862-8363
Fax: (910) 862-8767

The provider's authorized official is Andy Anderson .
The authorized official title is CEO PRESIDENTPresident and has the following contact phone number (910) 739-8849.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 9/11/2025.

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 Number License State Primary
1171M00000XCase Manager/Care CoordinatorNo
2101YP2500XCounselorProfessionalNORTH CAROLINANo
3101YM0800XCounselorMental HealthNORTH CAROLINANo
41041C0700XSocial WorkerClinicalNORTH CAROLINANo
52084P0800XPsychiatry & NeurologyPsychiatryNORTH CAROLINAYes

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 Other Provider Identifier Issuer
18300962MEDICAIDNORTH 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: 11/21/2025

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