BEHAVIORAL HEALTH CENTER CMC RANDOLPH (NPI# 1649450487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649450487 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL HEALTH CENTER CMC RANDOLPH |
| Other Organization Name | C&A SUBSTANCE ABUSE IOP |
| Practice Address |
330 Billingsley Road Behavioral Health Center Cmc Randolph Charlotte NC 28211-1009 |
| Mailing Address |
501 Billingsley Road Behavioral Health Center Cmc Randolph Charlotte NC 28211-1009 |
| Practice Telephone | 7044442484 |
| Practice Fax Number | 7044442464 |
| Mailing Telephone | 7043582710 |
| Mailing Fax Number | 7043582938 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |
| Authorized Official Name | THOMAS E. GETTELMAN (ASSISTANT VICE PRESIDENT) |
| Authorized Official Telephone | 7044442406 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
H0071 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300445Q | 05 |
| Other Name | Type Code |
|---|---|
| C&A Substance Abuse IOP | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497952709 | Behavioral Health Center Cmc Randolph | Clinic/Center | 1216 N Tryon St, Behavioral Health Center Cmc Randolph, Charlotte, NC 28206-3256 | 2007-06-29 |
| 1306043658 | Behavioral Health Center Cmc Randolph | Clinic/Center | 1216 N Tryon Street, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 | 2007-06-29 |
| 1821278664 | Behavioral Health Center Cmc Randolph | Clinic/Center | 501 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 | 2007-11-09 |
| 1093995839 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-5055 | 2007-11-09 |
| 1710167564 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-5055 | 2007-11-09 |
| 1508055336 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 | 2007-10-17 |
| 1144419979 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-5055 | 2007-10-17 |
| 1104015023 | Behavioral Health Center Cmc Randolph | Clinic/Center | Behavioral Health Center Cmc Randolph, 501 Billingsley Road, Charlotte, NC 28211-1009 | 2007-10-16 |
| Street Address |
330 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033141817 | Charlotte Minimally Invasive Surgical Associates Pllc | Surgery | 330 Billingsley Road, Suite 210, Charlotte, NC 28211 | 2006-07-06 |
| 1942523337 | James E. Lemmons | Dentist | 330 Billingsley Road, Suite 204, Charlotte, NC 28211-1821 | 2010-03-12 |
| 1285819052 | James E Lemmons Dds Pa | Dentist | 330 Billingsley Road, Ste 204, Charlotte, NC 28211 | 2007-12-29 |
| 1093995839 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-5055 | 2007-11-09 |
| 1710167564 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-5055 | 2007-11-09 |
| 1508055336 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 | 2007-10-17 |
| 1144419979 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-5055 | 2007-10-17 |
| 1306910179 | David White Stroup | Dentist | 330 Billingsley Road, Suite 208, Charlotte, NC 28211-5020 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285290403 | Compass Life Skills and Counseling, Pllc | Clinic/Center | 8824 Cliff Cameron Dr Apt 107, Charlotte, NC 28269-0839 | 2019-05-13 |
| 1417435710 | Porcelain Dolls of The Carolinas, Inc | Clinic/Center | 5835 Executive Center Dr # 101-i, Charlotte, NC 28212 | 2018-07-30 |
| 1518344217 | Impact Healthcare Solutions LLC | Clinic/Center | 1411 Highfield Ct, Charlotte, NC 28216-1827 | 2015-05-01 |
| 1487952362 | Motivation & Inspiration Family Services | Clinic/Center | 7008 E Wt Harris Blvd Ste 7, Charlotte, NC 28215-4298 | 2011-03-02 |
| 1124484621 | Pathways To Growth Counseling, Pllc | Clinic/Center | 5200 Park Rd, Suite 236, Charlotte, NC 28209-3650 | 2016-01-13 |
| 1598164188 | Jessica L Massey,lcsw, Pllc | Clinic/Center | 3315 Springbank Ln, Suite 302, Charlotte, NC 28226-3197 | 2014-08-19 |
| 1265722557 | Alexander Youth Network | Clinic/Center | 5855 Executive Center Dr, Charlotte, NC 28212-8883 | 2011-04-08 |
| 1083856595 | Alexander Youth Network | Clinic/Center | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2009-03-30 |
| 1437391943 | Alexander Youth Network | Clinic/Center | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2009-03-30 |
| 1093995839 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-5055 | 2007-11-09 |
| 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.