Main Street Clinical Associates, Pa

LBN: Main Street Clinical Associates, Pa
Main Street Clinical Associates, Pa is an health care organization with primary practice located at 3326 Durham Chapel Hill Blvd. Bldg. C, Suite 230, Durham NC 27707-2600. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Main Street Clinical Associates, Pa can be contacted via phone (919) 286-3453, or through Van Wey, Shannon via phone (919) 286-3453.

Contact Information

Primary practice address
3326 Durham Chapel Hill Blvd. Bldg. C, Suite 230 Durham NC 27707-2600
Phone: (919) 286-3453
Fax: (919) 286-7033
Website:
Map and Directions
Authorized official contact:
Name: Van Wey, Shannon PHD
Phone: (919) 286-3453

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1922035260
LBN Legal business name Main Street Clinical Associates, Pa
DBA Doing business as
Authorized official Van Wey, Shannon PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2006
Last updated Jul 11th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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