MECKLENBURG OPEN DOOR, INC. (NPI# 1174720155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174720155 |
| Entity Type | Organization |
| Organization Name | MECKLENBURG OPEN DOOR, INC. |
| Practice Address |
1515 Mockingbird Ln Ste 1015 Charlotte NC 28209-3236 |
| Practice Telephone | 7045253255 |
| Practice Fax Number | 7045250949 |
| Mailing Telephone | 7045253255 |
| Mailing Fax Number | 7045250949 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EDWARD G PAYTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7045253255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8301657B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952531717 | Mecklenburg Open Door, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3950 Freedom Dr, Charlotte, NC 28208-2292 | 2009-07-15 |
| 1366671539 | Mecklenburg Open Door, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4218 Sofley Rd, Charlotte, NC 28206-1757 | 2009-07-09 |
| 1821227091 | Mecklenburg Open Door, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4350 Denver Ave, Charlotte, NC 28208-4701 | 2009-07-09 |
| 1568691723 | Mecklenburg Open Door, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3630 Frontenac Ave, Charlotte, NC 28215-2920 | 2009-07-09 |
| 1669601829 | Mecklenburg Open Door, Inc. | Community Based Residential Treatment Facility, Mental Illness | 8936 Sharonbrook Dr, Charlotte, NC 28210-5698 | 2009-07-09 |
| 1790819621 | Mecklenburg Open Door, Inc. | Clinic/Center | 245 N Cedar St, Charlotte, NC 28202-1212 | 2007-03-15 |
| 1407989874 | Mecklenburg Open Door, Inc. | Clinic/Center | 1211 Robinhood Cir, Charlotte, NC 28227-4036 | 2007-03-14 |
| 1285767665 | Mecklenburg Open Door, Inc. | Clinic/Center | 1518 Briar Creek Rd, Charlotte, NC 28205-5576 | 2007-03-14 |
| 1750414132 | Mecklenburg Open Door, Inc. | Clinic/Center | 3711 Carmel Forest Dr, Charlotte, NC 28226-8117 | 2007-03-14 |
| 1629101225 | Mecklenburg Open Door, Inc. | Clinic/Center | 714 Mcalway Rd, Charlotte, NC 28211-1414 | 2007-03-13 |
| Street Address |
1515 MOCKINGBIRD LN STE 1015 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28209-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265422539 | Raymond L Grubbs | Counselor | 1515 Mockingbird Ln, Suite 412, Charlotte, NC 28209-3236 | 2005-10-26 |
| 1487957866 | Melissa Mangene Cowles | Social Worker | 1515 Mockingbird Ln, Suite 1015, Charlotte, NC 28209-3236 | 2010-12-07 |
| 1487967030 | Latricia H Penny | Counselor | 1515 Mockingbird Ln, Suite 709, Charlotte, NC 28209-3236 | 2010-07-23 |
| 1538484290 | Ark Angels LLC | In Home Supportive Care | 1515 Mockingbird Ln, Ste 515, Charlotte, NC 28209-3236 | 2010-04-06 |
| 1912234915 | Fairview Psychological Services, P.a. | Psychologist | 1515 Mockingbird Ln, Suite 215, Charlotte, NC 28209-3236 | 2009-11-11 |
| 1306076161 | Mecklenburg Open Door, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1515 Mockingbird Ln, Suite 1015, Charlotte, NC 28209-3236 | 2009-07-15 |
| 1356577308 | Rulondo Tehran Anderson Sr. | Counselor | 1515 Mockingbird Ln, Suite 405, Charlotte, NC 28209-3236 | 2009-06-04 |
| 1043495419 | Psychiatric and Forensic Associates, P.a. | Psychiatry & Neurology | 1515 Mockingbird Ln, Charlotte, NC 28209-3239 | 2008-01-04 |
| 1336336023 | Parktowne Psychological Services | Psychologist | 1515 Mockingbird Ln, Suite 212, Charlotte, NC 28209-3236 | 2007-09-26 |
| 1427254234 | Stephanie Laura Rauch | Counselor | 1515 Mockingbird Ln, Charlotte, NC 28209-3236 | 2007-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382200 | Christopher Joseph Malara | Occupational Therapy Assistant | 3600 Park Rd, Charlotte, 28209, Nc, Charlotte, NC 28209 | 2019-05-23 |
| 1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
| 1235611690 | Shearer Counseling Services Pllc | Counselor | 5200 Park Road Ste 200-3, Charlotte, NC 28209 | 2018-09-02 |
| 1942796396 | Wade Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 4400 Park Rd Unit 315, Charlotte, NC 28209 | 2018-07-09 |
| 1750803672 | Stephanie Rindner | Behavior Technician | 716 Marsh Road, Charlotte, NC 28209 | 2017-07-12 |
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1275943011 | Cameron Cunningham | Anesthesiology | 1515 Mockingbird Ln Ste 680, Charlotte, NC 28209 | 2014-05-02 |
| 1013299205 | Digital Ultrasound Associates | Spec/Tech, Cardiovascular | 4450 South Blvd Suite 4, Charlotte, NC 28209 | 2011-09-13 |
| 1801117676 | Rosemary Nmi Lucas | Physical Therapist | 2910 Selwyn Ave #359, Charlotte, NC 28209 | 2010-06-16 |
| 1194049767 | Frances Massey Harley | Speech-Language Pathologist | 715 Hartford Avenue, Sedgefield Elementary School, Charlotte, NC 28209 | 2010-03-25 |
| Find all providers in zip 28209 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
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|---|---|---|---|---|
| 1598377731 | Lux Glamorous Wigs & Company | Case Management | 1237 Tyvola Dr # Rd, Charlotte, NC 28210-3870 | 2020-08-19 |
| 1679111769 | Lawana Ussery Hill | Case Management | 1740 Misty Morn Drive, Charlotte, NC 28215 | 2019-12-19 |
| 1477196970 | New Era II | Case Management | 5412a Central Ave, Charlotte, NC 28212-2706 | 2019-10-28 |
| 1598329765 | Carolinas Quality Family Services, LLC | Case Management | 7619 Eben Dr, Charlotte, NC 28269-1113 | 2019-04-23 |
| 1295210409 | Baitul Hemayah, Inc. | Case Management | 4301 Shamrock Dr, Charlotte, NC 28215-3915 | 2018-10-03 |
| 1144716499 | Resourceful Solutions II | Case Management | 4920 Albmarle Roadd, Charlotte, NC 28205 | 2018-07-10 |
| 1508360892 | Concrete Roses Life Center | Case Management | 5960 Fairview Rd Ste 323, Charlotte, NC 28210-3102 | 2018-03-21 |
| 1194234328 | Specialized Health Care Services | Case Management | 2750 E. Wt Harris Blvd, Suite 128, Charlotte, NC 28213 | 2017-09-19 |
| 1134643919 | Dream Savers | Case Management | 4236 Tipperary Pl, Charlotte, NC 28215-3327 | 2017-08-02 |
| 1578008918 | Johnisha Ashaki Mcphaul | Case Management | 5736 N Tryon St Ste 225a, Charlotte, NC 28213-0820 | 2016-12-20 |
| Find all providers in CHARLOTTE | ||||
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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.