Provider Demographics
| NPI: | 1992170377 |
|---|---|
| Name: | CHAPMANS MANAGEMENT COMPANY |
| Entity type: | Organization |
| Organization Name: | CHAPMANS MANAGEMENT COMPANY |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | BOARD CHAIRMAN |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | BARASHEEM |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | CHAPMAN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 910-339-4987 |
| Mailing Address - Street 1: | 918 HOPE MILLS RD STE 2 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | FAYETTEVILLE |
| Mailing Address - State: | NC |
| Mailing Address - Zip Code: | 28304-4243 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 910-339-4987 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 918 HOPE MILLS RD STE 2 |
| Practice Address - Street 2: | |
| Practice Address - City: | FAYETTEVILLE |
| Practice Address - State: | NC |
| Practice Address - Zip Code: | 28304-4243 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 910-339-4987 |
| Practice Address - Fax: | 910-835-0932 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2015-12-10 |
| Last Update Date: | 2022-09-21 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | Group - Multi-Specialty |
| No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | Group - Multi-Specialty | |
| No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | Group - Multi-Specialty |
| No | 103TP0016X | Behavioral Health & Social Service Providers | Psychologist | Prescribing (Medical) | Group - Multi-Specialty |
| No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
| No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
| No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
| No | 171000000X | Other Service Providers | Military Health Care Provider | Group - Multi-Specialty | |
| No | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | Primary Care | Group - Multi-Specialty |
| No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | Group - Multi-Specialty | |
| No | 347B00000X | Transportation Services | Bus | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| NC | 879149 | Other | BEACON HEALTH OPTION |
| NC | 02C3A | Other | BLUE CROSS/BLUE SHIELD |
| NC | 553235 | Other | MHN |
| NC | F310 | Medicaid | |
| NC | 64596541 | Other | AMERIHEALTH CARITAS NORTH CAROLINA, INC |
