ALEXANDER YOUTH NETWORK (NPI# 1417199928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417199928 |
| Entity Type | Organization |
| Organization Name | ALEXANDER YOUTH NETWORK |
| Practice Address |
6220 Thermal Rd Charlotte NC 28211-5630 |
| Practice Telephone | 7043668712 |
| Practice Fax Number | 7043628464 |
| Mailing Telephone | 7043668712 |
| Mailing Fax Number | 7043628464 |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |
| Authorized Official Name | MR. CRAIG BASS (CEO) |
| Authorized Official Telephone | 7043668712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | MHL-060-970 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3404523 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619510021 | Alexander Youth Network | Community/Behavioral Health | 398 Owen Road, Rooms #616 & 618, Lexington, NC 27292 | 2019-10-18 |
| 1982246401 | Alexander Youth Network | Community/Behavioral Health | 2061 E Holly Grove Rd, Trailers #11 & #12, Lexington, NC 27292-9795 | 2019-10-16 |
| 1649831470 | Alexander Youth Network | Community/Behavioral Health | 1601 Huffine Mill Rd Bldg C, Greensboro, NC 27405-5509 | 2019-06-24 |
| 1316507551 | Alexander Youth Network | Community/Behavioral Health | 309 Concord St Ste 101&201, Greensboro, NC 27406-3661 | 2019-06-19 |
| 1740840990 | Alexander Youth Network | Psychiatric Residential Treatment Facility | 1601 Huffine Mill Rd., Bldg B, Greensboro, NC 27405-5509 | 2019-06-19 |
| 1073173340 | Alexander Youth Network | Community/Behavioral Health | 155 Northpoint Ave Ste 210, High Point, NC 27262-7738 | 2019-06-18 |
| 1386128031 | Alexander Youth Network | Community/Behavioral Health | 2115 Hope Mills Rd, Fayetteville, NC 28304-4256 | 2018-09-19 |
| 1780174995 | Alexander Youth Network | Community/Behavioral Health | 401 Liberty Dr, Thomasville, NC 27360-4855 | 2018-05-14 |
| 1578067146 | Alexander Youth Network | Psychiatric Residential Treatment Facility | 6220e Thermal Rd, Charlotte, NC 28211-5630 | 2018-03-20 |
| 1811497639 | Alexander Youth Network | Community/Behavioral Health | 1608 Camden Rd, Rooms #16 & #17, Fayetteville, NC 28306-1734 | 2018-02-19 |
| Street Address |
6220 THERMAL RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-5630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255349114 | Rebecca R Tomsyck | Psychiatry & Neurology | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2006-08-04 |
| 1417451790 | Alexander Youth Network | Pediatrics | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2018-03-21 |
| 1255862082 | Robin Havermann | Psychologist | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2017-03-23 |
| 1841747581 | Randy Patterson | Counselor | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2016-09-09 |
| 1629521497 | Chiquita Patterson | Counselor | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2016-07-28 |
| 1619329760 | Stephanie Nelson | Social Worker | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2016-07-12 |
| 1831541457 | Tamika Dawkins | Social Worker | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2016-07-07 |
| 1134586167 | Taylor Lauren Justice | Counselor | 6220 Thermal Rd, Charlotte, NC 28211 | 2016-01-21 |
| 1891168902 | Lee Sousa | Counselor | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2015-11-11 |
| 1770962078 | Sandra Rice | Counselor | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2015-05-20 |
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| 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 | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578067146 | Alexander Youth Network | Psychiatric Residential Treatment Facility | 6220e Thermal Rd, Charlotte, NC 28211-5630 | 2018-03-20 |
| 1013450055 | Rwilliams | Psychiatric Residential Treatment Facility | 511 Tansy Dr, Charlotte, NC 28214-8832 | 2016-11-23 |
| 1841677077 | Hewitt Home Care | Psychiatric Residential Treatment Facility | 2331 Crownpoint Executive Drive, Charlotte, NC 28227 | 2015-04-27 |
| 1225477052 | L Richardson Home | Psychiatric Residential Treatment Facility | 9828 Addison Gray Lane, Charlotte, NC 28270 | 2013-06-14 |
| 1063606861 | My Brothers House Inc. | Psychiatric Residential Treatment Facility | 8525 Woofford Bridge Drive, Charlotte, NC 28216-6612 | 2007-09-05 |
| 1114069119 | My Brothers House Inc. | Psychiatric Residential Treatment Facility | 4822 Albemarle Rd Ste 105, Charlotte, NC 28205-6612 | 2007-02-13 |
| 1144376989 | New Hope Carolinas | Psychiatric Residential Treatment Facility | 7895 Foxcroft Ln, Charlotte, NC 28213-3878 | 2007-01-26 |
| 1659739316 | Jonoga, LLC | Psychiatric Residential Treatment Facility | 6700 Barcliff Dr, Charlotte, NC 28212-8554 | 2016-02-09 |
| 1477864734 | Thompson Child and Family Focus | Psychiatric Residential Treatment Facility | 769 N Wendover Rd, Charlotte, NC 28211 | 2010-07-01 |
| 1518294974 | Alexander Youth Network | Psychiatric Residential Treatment Facility | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2009-11-05 |
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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.