MECKLENBURG OPEN DOOR/PARK SENECA CLINIC (NPI# 1588805758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588805758 |
Entity Type | Organization |
Organization Name | MECKLENBURG OPEN DOOR/PARK SENECA CLINIC |
Practice Address |
1515 Mockingbird Lane Suite 1015 Charlotte NC 28209-3294 |
Practice Telephone | 7045253255 |
Practice Fax Number | 7045250949 |
Mailing Telephone | 7045253255 |
Mailing Fax Number | 7045250949 |
Enumeration Date | 2009-03-17 |
Last Update Date | 2009-03-17 |
Authorized Official Name | EDWARD G PAYTON (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 7045253255 |
Authorized Official Credential | MHA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
1515 MOCKINGBIRD LANE SUITE 1015 |
City | CHARLOTTE |
State | NC |
Zip Code | 28209-3294 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144524158 | Lori Ellen Martinez | Counselor | 1515 Mockingbird Lane, Suite 212, Charlotte, NC 28209 | 2011-01-05 |
1083798185 | Joy Ross | Psychiatry & Neurology | 1515 Mockingbird Lane, Suite 815, Charlotte, NC 28209 | 2006-10-25 |
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 | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
1760090641 | Compact Health Services LLC | Community/Behavioral Health | 7506 E Independence Blvd Ste 130-d, Charlotte, NC 28227-9471 | 2020-07-16 |
1366060170 | Stride | Community/Behavioral Health | 14054 Singleleaf Lane, Charlotte, NC 28278 | 2020-07-08 |
1114540093 | Curtis In Care LLC | Community/Behavioral Health | 10923 Chastain Parc Dr, Charlotte, NC 28216-7654 | 2020-05-26 |
1477174407 | Garden of Life, Inc | Community/Behavioral Health | 8339 Fox Swamp Rd, Charlotte, NC 28215-9011 | 2020-04-30 |
1134753601 | Luis Ariel Hernandez | Community/Behavioral Health | 6000 Fairview Rd # 1259, Charlotte, NC 28210-2224 | 2020-02-24 |
1205468774 | Windsong Family & Psychiatric Associates, Pllc | Community/Behavioral Health | 416 Mccullough Dr Ste 135, Charlotte, NC 28262-4389 | 2020-02-12 |
1265071542 | Counseling and Behavioral Therapy | Community/Behavioral Health | 16528 Silversword Dr, Charlotte, NC 28213-4876 | 2020-01-03 |
1578101283 | Davis Quality Care LLC | Community/Behavioral Health | 11623 Sweet Rose Ct, Charlotte, NC 28269-3407 | 2019-12-12 |
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.