MECKLENBURG OPEN DOOR, INC.


Address: 1515 Mockingbird Ln, Suite 1015, Charlotte, NC 28209-3236
Phone: 7045253255

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider IDs and Locations

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

Office Location

Street Address 1515 MOCKINGBIRD LN
SUITE 1015
City CHARLOTTE
State NC
Zip Code 28209-3236

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

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
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Competitor

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City CHARLOTTE
Zip Code 28209

Improve Information

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Dataset Information

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.

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