MECKLENBURG OPEN DOOR, INC. (NPI# 1306076161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306076161 |
Entity Type | Organization |
Organization Name | MECKLENBURG OPEN DOOR, INC. |
Practice Address |
1515 Mockingbird Ln Suite 1015 Charlotte NC 28209-3236 |
Practice Telephone | 7045253255 |
Practice Fax Number | 7045250949 |
Mailing Telephone | 7045253255 |
Mailing Fax Number | 7045250949 |
Enumeration Date | 2009-07-15 |
Last Update Date | 2009-07-15 |
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 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
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 SUITE 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 |
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 |
1174720155 | Mecklenburg Open Door, Inc. | Case Management | 1515 Mockingbird Ln, Ste 1015, Charlotte, NC 28209-3236 | 2007-07-02 |
1427254234 | Stephanie Laura Rauch | Counselor | 1515 Mockingbird Ln, Charlotte, NC 28209-3236 | 2007-06-27 |
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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 | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366041667 | Jalisa Jackson | Community Based Residential Treatment Facility, Mental Illness | 11413 Mangla Dr, Charlotte, NC 28214-8885 | 2020-10-19 |
1457836736 | Miracle Houses, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7827 Kerry Brook Circle, Charlotte, NC 28214 | 2018-10-02 |
1306353248 | Families United | Community Based Residential Treatment Facility, Mental Illness | 6610 Harburn Forest Dr, Charlotte, NC 28269-6912 | 2017-12-31 |
1013466416 | Roha Solutions, Inc | Community Based Residential Treatment Facility, Mental Illness | 1529 Jennings St, Charlotte, NC 28216 | 2016-09-26 |
1104270636 | Dennis Griffin's Consulting | Community Based Residential Treatment Facility, Mental Illness | 4428 Staffordshire Ln, Charlotte, NC 28213-4238 | 2016-04-21 |
1336579077 | Growth and Wellness Center, LLC. | Community Based Residential Treatment Facility, Mental Illness | 12001 Olympic Club Dr, Charlotte, NC 28277-4057 | 2013-11-15 |
1912267477 | Between Faces Foundation, Inc | Community Based Residential Treatment Facility, Mental Illness | 13000 S Tryon St Ste F-179, Charlotte, NC 28278-7652 | 2012-05-17 |
1194084194 | Promising Youth & Adults Behavioral Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 2750 E Wt Harris Blvd Ste 105, Charlotte, NC 28213-4286 | 2012-05-10 |
1265747349 | Primary Care Solutions Inc | Community Based Residential Treatment Facility, Mental Illness | 6807 Idlewild Brook Ln, Charlotte, NC 28212-5858 | 2010-08-12 |
1902110828 | Primary Care Solutions Inc. | Community Based Residential Treatment Facility, Mental Illness | 2744 Fairstone Ave, Charlotte, NC 28269-5412 | 2010-08-03 |
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.