CENTRAL CAROLINA PSYCHOTHERAPY, PLLC
NPI 1760933360
Clinic/Center - Adolescent and Children Mental Health in High Point, NC

NPI Status: Active since October 18, 2016

Contact Information

200 W PARKWAY AVE
HIGH POINT, NC
ZIP 27262
Phone: (336) 638-1374
Fax: (336) 887-4594

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About CENTRAL CAROLINA PSYCHOTHERAPY, PLLC

This page provides the complete NPI Profile along with additional information for Central Carolina Psychotherapy, Pllc, a provider established in High Point, North Carolina operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1760933360 assigned on October 2016. The practitioner's primary taxonomy code is 261QM0855X with license number 9952 (NC). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Frank Mullins M.a., Lpc (Owner)

NPI
1760933360
Provider Name
CENTRAL CAROLINA PSYCHOTHERAPY, PLLC
Entity Type
Organization
Location Address
200 W PARKWAY AVE HIGH POINT, NC 27262
Location Phone
(336) 638-1374
Location Fax
(336) 887-4594
Mailing Address
200 W PARKWAY AVE HIGH POINT, NC 27262
Mailing Phone
(336) 638-1374
Mailing Fax
(336) 887-4594
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2016
Last Update Date
10-18-2016
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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

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
License No.
9952
License State
NC
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

9952 (NC)

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

MR. FRANK MULLINS M.A., LPC

Authorized Official Title
OWNER
Authorized Official Phone
(336) 638-1374

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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.
1760933360
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271201836312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 8 + 3 + 6 + 3 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1760933360 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467463166MS. TERRI L VAUGHN LCSW
Individual
Counselor (Professional)200 W PARKWAY AVE
HIGH POINT, NC 27262
(336) 707-2522
1497165922MR. SEAN DAVID SHOBE M.A. LPC
Individual
Counselor (Professional)200 W PARKWAY AVE
HIGH POINT, NC 27262
(336) 908-4477
1306300710 GAITHER MOORE TERRELL LCSW
Individual
Social Worker (Clinical)200 W PARKWAY AVE
HIGH POINT, NC 27262
(336) 847-1200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760933360, enumerated in the NPI registry as an "organization" on October 18, 2016

The provider is located at 200 W Parkway Ave High Point, Nc 27262 and the phone number is (336) 638-1374

This medical organization specializes in Clinic/Center with taxonomy code 261QM0855X with a focus in Adolescent and Children Mental Health

This NPI record was last updated on October 18, 2016. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.