MECKLENBURG OPEN DOOR, INC. (NPI# 1285767665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285767665 |
| Entity Type | Organization |
| Organization Name | MECKLENBURG OPEN DOOR, INC. |
| Practice Address |
1518 Briar Creek Rd Charlotte NC 28205-5576 |
| Mailing Address |
1515 Mockingbird Ln Sutie 1015 Charlotte NC 28209-3236 |
| Practice Telephone | 7045374544 |
| Practice Fax Number | 7045374430 |
| Mailing Telephone | 7045253255 |
| Mailing Fax Number | 7045250949 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EDWARD G PAYTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7045253255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
MHL-060-454 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7803476 | 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 |
| 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 |
| 1306076161 | Mecklenburg Open Door, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1515 Mockingbird Ln, Suite 1015, Charlotte, NC 28209-3236 | 2009-07-15 |
| Street Address |
1518 BRIAR CREEK RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28205-5576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356641088 | Monarch | Assisted Living Facility | 1518 Briar Creek Rd, Charlotte, NC 28205 | 2010-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260493 | Sarah Mcgeachy Greene | Social Worker | 1332 Morningside Dr., Charlotte, NC 28205 | 2020-09-16 |
| 1538705090 | Insight Counseling & Mental Health Co, Pllc | Social Worker | 4922 Albemarle Blvd, Charlotte, NC 28205 | 2019-11-20 |
| 1821631672 | Healthy Living Pharmacy | Pharmacy | 3717 N. Sharon Amity Road, Suite C, Charlotte, NC 28205 | 2019-10-24 |
| 1861957292 | Oakhurst Health Investers Inc. | Pharmacy | 1630 Oakhurst Commons Dr, Unit 206, Charlotte, NC 28205 | 2019-02-11 |
| 1710459938 | Leis Therapy LLC | Physical Therapist | 1617 Onslow Dr, Charlotte, NC 28205 | 2018-12-28 |
| 1518449776 | Natalie C Martinez-rogers Dmd Pa | Dentist | 2100 N Davidson St Ste B, Charlotte, NC 28205 | 2018-09-05 |
| 1144716499 | Resourceful Solutions II | Case Management | 4920 Albmarle Roadd, Charlotte, NC 28205 | 2018-07-10 |
| 1679072805 | Richard Mcdonald | Counselor | 4922 Albemarle Rd Ste 5, Charlotte, NC 28205 | 2018-02-02 |
| 1487160107 | Catherine King | Nurse Practitioner | 2801 Virginia Ave, Charlotte, NC 28205 | 2017-12-18 |
| 1295251213 | Kashmia A Fanning | Social Worker | 4822 Albermarle Road, Charlotte, NC 28205 | 2017-08-22 |
| Find all providers in zip 28205 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316770 | Renaissance Healthcare Group Raleigh, LLC | Clinic/Center | 7300 Carmel Executive Park Dr Ste 100, Charlotte, NC 28226-1307 | 2019-09-27 |
| 1255981627 | Each One Teach Two | Clinic/Center | 401 Hawthorne Ln Ste 110-224, Charlotte, NC 28204-2484 | 2019-09-17 |
| 1073081014 | Inspired Hope | Clinic/Center | 7833 Calibre Crossing Dr Apt 205, Charlotte, NC 28227-6780 | 2018-11-07 |
| 1376038224 | Adams Counseling Service Pllc | Clinic/Center | 3623 Latrobe Dr Ste 110a-1, Charlotte, NC 28211-4864 | 2018-06-23 |
| 1194222174 | Dedicated 2 Liberating, LLC | Clinic/Center | 5415 Airport Dr, Charlotte, NC 28208-5733 | 2018-04-06 |
| 1033612825 | Behavioral Health Intervention Center, LLC | Clinic/Center | 8401 Medical Plaza Dr Ste 120, Charlotte, NC 28262-9769 | 2018-03-17 |
| 1609313311 | Mary A Martin Np Bc | Clinic/Center | 10430 Haddington Dr Nw, Charlotte, NC 28269-6955 | 2017-01-20 |
| 1114297041 | Scn Psyhological and Consulting Services LLC | Clinic/Center | 6729 Fairview Rd Ste D, Charlotte, NC 28210-0127 | 2012-01-10 |
| 1750546347 | Carolinas Medical Center | Clinic/Center | 1216 North Tryon Street, Behavioral Health Center Cmc Randolph, Charlotte, NC 28206-3256 | 2008-07-23 |
| 1508023193 | Tammaria Lucilia Boyd | Clinic/Center | 1517 N Alexander St, Charlotte, NC 28205-2640 | 2008-05-21 |
| 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.