FAMILY PRESERVATION SERVICES OF NORTH CAROLINA INC (NPI# 1013049485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013049485 |
| Entity Type | Organization |
| Organization Name | FAMILY PRESERVATION SERVICES OF NORTH CAROLINA INC |
| Practice Address |
4601 Park Rd Suite 400 Charlotte NC 28209-3239 |
| Mailing Address |
Po Box 759194 Baltimore MD 21275-9194 |
| Practice Telephone | 7043440491 |
| Practice Fax Number | 7043440493 |
| Mailing Telephone | 7043440491 |
| Mailing Fax Number | 7043440493 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2013-08-09 |
| Authorized Official Name | MIRANDA LITTLE (REGIONAL DIRECTOR) |
| Authorized Official Telephone | 7043440491 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300284G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922130392 | Family Preservation Services of North Carolina Inc | Community/Behavioral Health | 4601 Park Rd, Suite 400, Charlotte, NC 28209-3239 | 2007-03-12 |
| Street Address |
4601 PARK RD SUITE 400 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28209-3239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275517682 | Duane W Albers | Physical Therapist | 4601 Park Rd, Suite 250, Charlotte, NC 28209-3239 | 2005-11-30 |
| 1578991469 | Orthocarolina, Pa | Physical Therapist | 4601 Park Rd, Suite 250, Charlotte, NC 28209-3239 | 2013-10-31 |
| 1992132997 | Frank Carl Pagel | Physician Assistant | 4601 Park Rd, Suite 250, Charlotte, NC 28209-3239 | 2013-10-04 |
| 1629355169 | Kelly Fitzwater | Social Worker | 4601 Park Rd, Suite 400, Charlotte, NC 28209-3239 | 2011-11-11 |
| 1174805121 | Jeffrey Dabkowski | Physician Assistant | 4601 Park Rd, Suite 250, Charlotte, NC 28209-3239 | 2011-09-15 |
| 1891002135 | Family Preservation Services of Nc, Inc. | Community/Behavioral Health | 4601 Park Rd, Suite 400, Charlotte, NC 28209-3239 | 2010-09-08 |
| 1861710949 | Family Preservation Services of Nc, Inc. | Case Management | 4601 Park Rd, Suite 400, Charlotte, NC 28209-3239 | 2010-05-13 |
| 1710215256 | Southpark Pediatrics, P.a. | Specialist | 4601 Park Rd, Suite 100, Charlotte, NC 28209-3239 | 2009-11-20 |
| 1801026877 | Allison N Poole | Physical Therapist | 4601 Park Rd, Ste 300, Charlotte, NC 28209-3239 | 2009-07-23 |
| 1689803793 | Nydian Eileen Coker | Counselor | 4601 Park Rd, Suite 400, Charlotte, NC 28209 | 2009-07-09 |
| Find all providers in the same location | ||||
| 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 | ||||
Please comment or provide details below to improve the information on FAMILY PRESERVATION SERVICES OF NORTH CAROLINA INC.
| 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.