Haven
Psychiatry & Neurology, Child & Adolescent Psychiatry in Wilmington, NC. Organization (NPI-2).
Details
- NPI
- 1285862292
- Entity type
- Organization (NPI-2)
- Legal business name
- Haven
- Organization subpart
- No
- Enumeration date
- Jun 29, 2009
- Last updated
- Jan 2, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | 200301378 | NC | Yes |
Practice location
20 S 16th StWilmington, NC 28401-4924
Phone 910-399-3927 · Fax 910-399-3928
Mailing address
20 S 16th StWilmington, NC 28401-4924
Phone 910-399-3927 · Fax 910-399-3928
Authorized official
Dwight Lysne
Director
9104651935
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 14 Child & Adolescent Psychiatry Physician providers in Wilmington · All 8,790 providers in Wilmington
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