EXTENDED REACH DAY TREATMENT - NPI 1821395674 - Community/Behavioral Health in Fayetteville, NC

Q: What is Extended Reach Daytreatment For Children And Adolescents's specialty?

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

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About Extended Reach Day Treatment NPPES

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

EXTENDED REACH DAY TREATMENT (NPI 1821395674) is a healthcare organization registered as a community/behavioral health in Fayetteville, North Carolina and active in the NPI registry since February 2011. The organization lists Andrea Monique Boatman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821395674

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameEXTENDED REACH DAYTREATMENT FOR CHILDREN AND ADOLESCENTS

Location Address302 BRADFORD AVEFayetteville, NC 28301-5406

Mailing Address302 Bradford AveFayetteville, NC 28301-5406 · (910) 484-0095 · Fax (919) 238-7287

Phone(910) 484-0095

Fax(919) 238-7287

Organization SubpartNo

Authorized OfficialAndrea Monique BoatmanCeo · (910) 229-8256

Enumeration DateFebruary 14, 2011

Last NPPES UpdateJuly 15, 2014

✔ NPI 1821395674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in NC · MHL-026-852

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.

302 BRADFORD AVE, Fayetteville, NC 28301

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Other Names 1

Other NameExtended Reach Day Treatment

Other Identifiers 4

Medicaid6006927NC

Medicaid3410184NC

Medicaid8302981NC

Medicaid8302339NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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.

CRSE ADVANCED PLACEMENT HOMES, INC.

Community/Behavioral Health

302 BRADFORD AVE
FAYETTEVILLE, NC 28301

Cumberland County (336) 722-1862

SAMANTHA MCQUEEN MSW, LCSWA

Social Worker (Clinical)

302 BRADFORD AVE, SUITE 2
FAYETTEVILLE, NC 28301

Cumberland County (910) 484-0095

KERSTIN SHEETS

Social Worker (Clinical)

302 BRADFORD AVE
FAYETTEVILLE, NC 28301

Cumberland County (910) 484-0095

CRSE ADVANCED PLACEMENT HOMES, INC.

Community/Behavioral Health

302 BRADFORD AVE
FAYETTEVILLE, NC 28301

Cumberland County (336) 722-1862

LISA DANIELS

Social Worker (Clinical)

302 BRADFORD AVE
FAYETTEVILLE, NC 28301

Cumberland County (910) 484-0095

EXTENDED REACH DAY TREATMENT FOR CHILDREN & ADOLESCENTS LLC

Community/Behavioral Health

302 BRADFORD AVE
FAYETTEVILLE, NC 28301

Cumberland County (910) 484-0095

EXTENDED REACH DAYTREATMENT FOR CHILDRENA AND ADOLESCENTS LLC

Case Management

302 BRADFORD AVE
FAYETTEVILLE, NC 28301

Cumberland County (910) 484-0095

REACHING OUT AND BEYOND LLC

Community/Behavioral Health

302 BRADFORD AVE
FAYETTEVILLE, NC 28301

Cumberland County (910) 484-0095

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 Extended Reach Daytreatment For Children And Adolescents's NPI number?

The NPI number for Extended Reach Daytreatment For Children And Adolescents is 1821395674. It was assigned to this organization in the NPPES registry on February 14, 2011. The provider is also known as Extended Reach Day Treatment.

Where is Extended Reach Daytreatment For Children And Adolescents located?

Extended Reach Daytreatment For Children And Adolescents is located at 302 Bradford Ave, Fayetteville, NC 28301. The listed phone number is (910) 484-0095.

What is Extended Reach Daytreatment For Children And Adolescents's specialty?

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

What insurance does Extended Reach Daytreatment For Children And Adolescents accept?

Health plans from Blue Cross and Blue Shield of NC list Extended Reach Daytreatment For Children And Adolescents as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Extended Reach Daytreatment For Children And Adolescents was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.