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

Active since May 15, 2023
301 KING ST APT 1E, GREENSBORO, NC 27406(919) 630-5144 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deep River Psychiatric Group Pllc NPPES

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

DEEP RIVER PSYCHIATRIC GROUP PLLC (NPI 1760172555) is a healthcare organization registered as a community/behavioral health in Greensboro, North Carolina and active in the NPI registry since May 2023. The organization lists Allan M Faircloth, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760172555
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDEEP RIVER PSYCHIATRIC GROUP PLLC
Location Address301 KING ST APT 1EGreensboro, NC 27406-1699
Mailing Address301 King St Apt 1eGreensboro, NC 27406-1699 · (919) 630-5144
Phone(919) 630-5144
Organization SubpartNo
Authorized OfficialAllan M FairclothCeo · (919) 630-5144
Enumeration DateMay 15, 2023
NPPES CertifiedMay 14, 2023
✔ NPI 1760172555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
301 KING ST APT 1E, Greensboro, NC 27406
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Other Identifiers 2

Other1457876591NC · Medicare
Medicaid1457876571NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Deep River Psychiatric Group PLLC's NPI number?

The NPI number for Deep River Psychiatric Group PLLC is 1760172555. It was assigned to this organization in the NPPES registry on May 15, 2023.

Where is Deep River Psychiatric Group PLLC located?

Deep River Psychiatric Group PLLC is located at 301 King St Apt 1E, Greensboro, NC 27406. The listed phone number is (919) 630-5144.

What is Deep River Psychiatric Group PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Deep River Psychiatric Group PLLC was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.