CARDINAL CLINIC LLC - NPI 1982761250 - Community/Behavioral Health in Fayetteville, NC

Q: What is Cardinal Clinic LLC's NPI number?

The NPI number for Cardinal Clinic LLC is 1982761250. It was assigned to this organization in the NPPES registry on January 3, 2007.

Q: What is Cardinal Clinic LLC's specialty?

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

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About Cardinal Clinic Llc NPPES

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

CARDINAL CLINIC LLC (NPI 1982761250) is a healthcare organization registered as a community/behavioral health in Fayetteville, North Carolina and active in the NPI registry since January 2007. The organization lists Tony Garcia, Qm Coordinator, as its authorized official.

NPPES Registry Identity

NPI1982761250

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCARDINAL CLINIC LLC

Location Address1540 PURDUE DR STE 200Fayetteville, NC 28303-5510

Mailing Address1540 Purdue Dr Ste 200Fayetteville, NC 28303-5510 · (910) 867-8889

Phone(910) 867-8889

Organization SubpartNo

Authorized OfficialTony GarciaQm Coordinator · (910) 864-0187

Enumeration DateJanuary 3, 2007

Last NPPES UpdateMay 20, 2009

✔ NPI 1982761250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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 ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

1540 PURDUE DR STE 200, Fayetteville, NC 28303

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Other Identifiers 1

Medicaid8300391NC

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

Other Providers at the Same Location NPPES 8

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

THEODORE W. LANE PH.D.

Psychologist (Clinical)