OrganizationActive
Haven
NPI 1285862292 · Child & Adolescent Psychiatry Physician · Wilmington, NC
Provider details
- NPI number
- 1285862292
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dwight Lysne, Director(910) 465-1935
- License
- 200301378 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20 S 16th St
Wilmington, NC 28401-4924
Phone: (910) 399-3927
Fax: (910) 399-3928
Street-level locationGet directions
Mailing address
20 S 16th St
Wilmington, NC 28401-4924
Registry dates
- Enumerated
- 2009-06-29
- Last updated
- 2014-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.