BRYNN MARR HOSPITAL
NPI 1144207804
Psychiatric Residential Treatment Facility in Jacksonville, NC

Active since December 23, 2005CLIA 34D0907826 · Waiver
192 VILLAGE DR, JACKSONVILLE, NC 28546(910) 577-1400(910) 577-2766 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brynn Marr Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYNN MARR HOSPITAL (NPI 1144207804) is a healthcare organization registered as a psychiatric residential treatment facility in Jacksonville, North Carolina and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through October 23, 2027 and lists Steve Filton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1144207804
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameBRYNN MARR HOSPITAL, INC
Location Address192 VILLAGE DRJacksonville, NC 28546
Mailing Address192 Village DrJacksonville, NC 28546 · (910) 577-1400 · Fax (910) 577-2766
Fax(910) 577-2766
Organization SubpartNo
Authorized OfficialSteve FiltonVice President · (610) 768-3482
Enumeration DateDecember 23, 2005
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
NPI 1144207804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
192 VILLAGE DR, Jacksonville, NC 28546

Other Names 1

Doing Business AsBrynn Marr Hospital

Other Identifiers 2

Medicaid3404500NC
Other001AMNC · Bcbs

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0907826

Brynn Marr Hospital · Jacksonville, NC
Active · expires Oct 23, 2027
CLIA Number34D0907826
Laboratory TypeHospital
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorRobert Admans
Laboratory Phone(910) 577-2760
Laboratory LocationBrynn Marr Hospital191 Village Drive, Jacksonville, NC 28546
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Counselor (Professional)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Social Worker (Clinical)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Registered Nurse (Psychiatric/Mental Health)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Psychiatry & Neurology (Child & Adolescent Psychiatry)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Psychiatry & Neurology (Psychiatry)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Counselor (Mental Health)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Pharmacy (Institutional Pharmacy)
192 VILLAGE DR
JACKSONVILLE, NC 28546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brynn Marr Hospital, Inc's NPI number?

The NPI number for Brynn Marr Hospital, Inc is 1144207804. It was assigned to this organization in the NPPES registry on December 23, 2005. The provider is doing business as Brynn Marr Hospital.

Where is Brynn Marr Hospital, Inc located?

Brynn Marr Hospital, Inc is located at 192 Village Dr, Jacksonville, NC 28546. The listed phone number is (910) 577-1400.

What is Brynn Marr Hospital, Inc's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Brynn Marr Hospital, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0907826) is associated with this NPI, valid through October 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brynn Marr Hospital, Inc was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.