MECKLENBURG OPEN DOOR/PARK SENECA CLINIC


Address: 1515 Mockingbird Lane, Suite 1015, Charlotte, NC 28209-3294
Phone: 7045253255

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 1515 MOCKINGBIRD LANE
SUITE 1015
City CHARLOTTE
State NC
Zip Code 28209-3294

Providers in the same location

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

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 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City CHARLOTTE
Zip Code 28209

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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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