MECKLENBURG OPEN DOOR, INC. (NPI# 1750414132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750414132 |
| Entity Type | Organization |
| Organization Name | MECKLENBURG OPEN DOOR, INC. |
| Practice Address |
3711 Carmel Forest Dr Charlotte NC 28226-8117 |
| Mailing Address |
1515 Mockingbird Ln Suite 1015 Charlotte NC 28209-3236 |
| Practice Telephone | 7045428727 |
| Practice Fax Number | 7045429198 |
| Mailing Telephone | 7045253255 |
| Mailing Fax Number | 7045250949 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EDWARD G PAYTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7045253255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
MHL-060-248 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7802714 | 05 |
| 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 |
| 1629101225 | Mecklenburg Open Door, Inc. | Clinic/Center | 714 Mcalway Rd, Charlotte, NC 28211-1414 | 2007-03-13 |
| 1306076161 | Mecklenburg Open Door, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1515 Mockingbird Ln, Suite 1015, Charlotte, NC 28209-3236 | 2009-07-15 |
| Street Address |
3711 CARMEL FOREST DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-8117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801196530 | Monarch | Community/Behavioral Health | 3711 Carmel Forest Dr, Charlotte, NC 28226-8117 | 2010-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316770 | Renaissance Healthcare Group Raleigh, LLC | Clinic/Center | 7300 Carmel Executive Park Dr Ste 100, Charlotte, NC 28226-1307 | 2019-09-27 |
| 1255981627 | Each One Teach Two | Clinic/Center | 401 Hawthorne Ln Ste 110-224, Charlotte, NC 28204-2484 | 2019-09-17 |
| 1073081014 | Inspired Hope | Clinic/Center | 7833 Calibre Crossing Dr Apt 205, Charlotte, NC 28227-6780 | 2018-11-07 |
| 1376038224 | Adams Counseling Service Pllc | Clinic/Center | 3623 Latrobe Dr Ste 110a-1, Charlotte, NC 28211-4864 | 2018-06-23 |
| 1194222174 | Dedicated 2 Liberating, LLC | Clinic/Center | 5415 Airport Dr, Charlotte, NC 28208-5733 | 2018-04-06 |
| 1033612825 | Behavioral Health Intervention Center, LLC | Clinic/Center | 8401 Medical Plaza Dr Ste 120, Charlotte, NC 28262-9769 | 2018-03-17 |
| 1609313311 | Mary A Martin Np Bc | Clinic/Center | 10430 Haddington Dr Nw, Charlotte, NC 28269-6955 | 2017-01-20 |
| 1114297041 | Scn Psyhological and Consulting Services LLC | Clinic/Center | 6729 Fairview Rd Ste D, Charlotte, NC 28210-0127 | 2012-01-10 |
| 1750546347 | Carolinas Medical Center | Clinic/Center | 1216 North Tryon Street, Behavioral Health Center Cmc Randolph, Charlotte, NC 28206-3256 | 2008-07-23 |
| 1508023193 | Tammaria Lucilia Boyd | Clinic/Center | 1517 N Alexander St, Charlotte, NC 28205-2640 | 2008-05-21 |
| 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.