DEEP RIVER PSYCHIATRIC GROUP PLLC
NPI 1760172555
Community/Behavioral Health in Greensboro, NC

NPI Status: Active since May 15, 2023

Contact Information

301 KING ST APT 1E
GREENSBORO, NC
ZIP 27406
Phone: (919) 630-5144

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  • Organization
  • Community/Behavioral Health

About DEEP RIVER PSYCHIATRIC GROUP PLLC

This page provides the complete NPI Profile along with additional information for Deep River Psychiatric Group Pllc, a provider established in Greensboro, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1760172555 assigned on May 2023. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Deep River Psychiatric Group Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Allan M Faircloth Pmhnp-bc, Rn (Ceo)

NPI
1760172555
Provider Name
DEEP RIVER PSYCHIATRIC GROUP PLLC
Entity Type
Organization
Location Address
301 KING ST APT 1E GREENSBORO, NC 27406
Location Phone
(919) 630-5144
Mailing Address
301 KING ST APT 1E GREENSBORO, NC 27406
Mailing Phone
(919) 630-5144
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2023
Last Update Date
05-15-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALLAN M FAIRCLOTH PMHNP-BC, RN

Authorized Official Title
CEO
Authorized Official Phone
(919) 630-5144

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1457876591OTHER (01)NCMEDICARE
1457876571MEDICAID (05)NC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760172555
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120274510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 2 + 7 + 4 + 5 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1760172555 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760172555, enumerated in the NPI registry as an "organization" on May 15, 2023

The provider is located at 301 King St Apt 1e Greensboro, Nc 27406 and the phone number is (919) 630-5144

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 15, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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