SUPERIOR HEALTHCARE SERVICES, INC. (NPI# 1164721072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164721072 |
| Entity Type | Organization |
| Organization Name | SUPERIOR HEALTHCARE SERVICES, INC. |
| Practice Address |
6636 E Wt Harris Blvd Suite D - E Charlotte NC 28215-5133 |
| Mailing Address |
Po Box 690547 Charlotte NC 28227-7010 |
| Practice Telephone | 7045636262 |
| Practice Fax Number | 7045636210 |
| Mailing Telephone | 7045636262 |
| Mailing Fax Number | 7045636210 |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |
| Authorized Official Name | MR. JASON CHRISTOPHER JONES (CEO) |
| Authorized Official Telephone | 7045636262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5915226 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962722728 | Superior Healthcare Services, Inc. | Community/Behavioral Health | 607 E Broad Ave, Rockingham, NC 28379-3758 | 2010-06-03 |
| 1255630166 | Superior Healthcare Services, Inc. | Counselor | 6636 E Wt Harris Blvd, Suite D - E, Charlotte, NC 28215-5133 | 2011-03-17 |
| Street Address |
6636 E WT HARRIS BLVD SUITE D - E |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28215-5133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578776696 | Superior Healthcare Services | Community/Behavioral Health | 6636 E Wt Harris Blvd, Suite D - E, Charlotte, NC 28215-5133 | 2007-05-07 |
| 1255630166 | Superior Healthcare Services, Inc. | Counselor | 6636 E Wt Harris Blvd, Suite D - E, Charlotte, NC 28215-5133 | 2011-03-17 |
| 1457598872 | Shalem Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6636 E Wt Harris Blvd, Suite # L, Charlotte, NC 28215-5133 | 2009-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679111769 | Lawana Ussery Hill | Case Management | 1740 Misty Morn Drive, Charlotte, NC 28215 | 2019-12-19 |
| 1053961110 | Tonya Anita Brown | Behavior Technician | 10230 White Oak Rd, Charlotte, NC 28215 | 2019-09-19 |
| 1780242412 | Mikhail A Rybin | Registered Nurse | 7502 Malden Park Drive, Charlotte, NC 28215 | 2019-05-29 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1538646088 | Andrew Simpson | Pharmacist | 3805 Rocky River Rd, Charlotte, NC 28215 | 2018-07-26 |
| 1154818425 | Korinne A Umlauft | Specialist/Technologist | 8618 Terra Cotta Dr, Charlotte, NC 28215 | 2018-04-22 |
| 1477058196 | Harmony Health Pllc | Community/Behavioral Health | 8633 Pine Circle, Charlotte, NC 28215 | 2018-03-26 |
| 1639671357 | Total Renal Care of North Carolina LLC | Clinic/Center | 9562 Rocky River Rd, Charlotte, NC 28215 | 2018-03-08 |
| 1588166060 | Allcare Medical Center,pllc | Internal Medicine | 7401 The Plaza, Charlotte, NC 28215 | 2018-03-01 |
| 1851891774 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3211 Bishops Way Lane, Charlotte, NC 28215 | 2018-02-16 |
| Find all providers in zip 28215 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
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|---|---|---|---|---|
| 1275821597 | Therapeutic Intervention Group, LLC | Psychologist | 1100 S Mint St, Suite 108, Charlotte, NC 28203-4049 | 2011-07-20 |
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| 1558615237 | Access Family Servides, Inc. | Psychologist | 2018 Fort Bragg Rd, Fayetteville, NC 28303-7037 | 2012-11-02 |
| 1619231776 | Max Psychiatry PC | Psychologist | 6402 Mccrimmon Pkwy, Suite - 200, Morrisville, NC 27560-8138 | 2012-07-03 |
| 1063784304 | Champion & Champion Pa Inc | Psychologist | 2609 N Duke St, 602, Durham, NC 27704-3048 | 2012-02-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.