=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609712934
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | 1ST RESPONSE PSYCHIATRY & BEHAVIORAL HEALTH PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/28/2026
-----------------------------------------------------
Last Update Date | 05/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1213 POPLAR STONE DR
-----------------------------------------------------
City | KNIGHTDALE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27545-8090
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-656-0900
-----------------------------------------------------
Fax | 626-227-8090
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1213 POPLAR STONE DR
-----------------------------------------------------
City | KNIGHTDALE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27545-8090
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-656-0900
-----------------------------------------------------
Fax | 626-227-8090
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | OLIVE ALVARADO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 919-656-0900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------