NIBLOCK JACK PROFESSIONAL SERVICES
NPI 1801036066
Community/Behavioral Health in Durham, NC

Active since March 02, 2009
5 SANDSTONE RIDGE CT, DURHAM, NC 27713(919) 237-2086 Get Directions Write a Review

NPPES record last updated: March 2, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Niblock Jack Professional Services NPPES

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

NIBLOCK JACK PROFESSIONAL SERVICES (NPI 1801036066) is a healthcare organization registered as a community/behavioral health in Durham, North Carolina and active in the NPI registry since March 2009. The organization lists Katherine Grace Niblock, Manager, as its authorized official.

NPPES Registry Identity

NPI1801036066
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameNIBLOCK JACK PROFESSIONAL SERVICES
Location Address5 SANDSTONE RIDGE CTDurham, NC 27713-9340
Mailing Address5 Sandstone Ridge CtDurham, NC 27713-9340
Organization SubpartNo
Authorized OfficialKatherine Grace NiblockManager · (919) 237-2086
Enumeration DateMarch 2, 2009
NPI 1801036066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in NC · 714
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.
5 SANDSTONE RIDGE CT, Durham, NC 27713

Other Identifiers 1

Medicaid6105078NC

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 Niblock Jack Professional Services's NPI number?

The NPI number for Niblock Jack Professional Services is 1801036066. It was assigned to this organization in the NPPES registry on March 2, 2009.

Where is Niblock Jack Professional Services located?

Niblock Jack Professional Services is located at 5 Sandstone Ridge Ct, Durham, NC 27713. The listed phone number is (919) 237-2086.

What is Niblock Jack Professional Services'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 Niblock Jack Professional Services was last updated on March 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.