Provider Demographics
NPI:1689852360
Name:HILLSBOROUGH PSYCHIATRY & PSYCHOTHERAPY ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:HILLSBOROUGH PSYCHIATRY & PSYCHOTHERAPY ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:ENDRES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:919-732-2130
Mailing Address - Street 1:960 CORPORATE DR
Mailing Address - Street 2:SUITE 402
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-8558
Mailing Address - Country:US
Mailing Address - Phone:919-732-2130
Mailing Address - Fax:
Practice Address - Street 1:960 CORPORATE DR
Practice Address - Street 2:SUITE 402
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-8558
Practice Address - Country:US
Practice Address - Phone:919-732-2130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty