BEHAVIORAL HEALTH CENTER CMC RANDOLPH (NPI# 1497952709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497952709 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL HEALTH CENTER CMC RANDOLPH |
| Other Organization Name | DIAGNOSTIC ASSESSMENT SERVICES-ACCESS |
| Practice Address |
1216 N Tryon St Behavioral Health Center Cmc Randolph Charlotte NC 28206-3256 |
| Mailing Address |
501 Billingsley Rd Behavioral Health Center Cmc Randolph Charlotte NC 28211-1009 |
| Practice Telephone | 7043366570 |
| Practice Fax Number | 7043363623 |
| Mailing Telephone | 7043582710 |
| Mailing Fax Number | 7043582938 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-10-18 |
| Authorized Official Name | THOMAS E. GETTELMAN (ASSISTANT VICE PRESIDENT) |
| Authorized Official Telephone | 7044442406 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
H0071 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300446G | 05 |
| Other Name | Type Code |
|---|---|
| Diagnostic Assessment Services-Access | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1649450487 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 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 |
1216 N TRYON ST BEHAVIORAL HEALTH CENTER CMC RANDOLPH |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28206-3256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053500108 | Joy Rosamond Bolly | Counselor | 1216 N Tryon St, Charlotte, NC 28206-3256 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
| 1609433291 | Life Interrupted Counseling Services | Counselor | 4045 N Tryon St Ste A, Charlotte, NC 28206 | 2019-05-20 |
| 1295141216 | Taqiyah Camyah Barber | Prosthetic/Orthotic Supplier | 3829 Perennial Terrace Dr, #g, Charlotte, NC 28206 | 2014-07-10 |
| 1386976033 | Olugboyega Remi Fisher | Community Health Worker | 1801 N.tryon Street, Suiteb114, Charlotte, NC 28206 | 2010-02-05 |
| 1821225699 | Alzenia Kelly Morris | Counselor | 1801 N Tryon Street Ste 339, Charlotte, NC 28206 | 2009-06-18 |
| 1942479936 | American Current Care of North Carolina PC | Clinic/Center | 2835 Jeff Adams Drive, Suite A, Charlotte, NC 28206 | 2008-02-25 |
| 1992823629 | Shari J Baum | Preventive Medicine | 2830 North I-85, Suite A and B, Charlotte, NC 28206 | 2007-03-27 |
| 1255479135 | Tameka Denise Jenkins | Counselor | 1600 Norris Ave., Charlotte, NC 28206 | 2007-02-02 |
| 1871655803 | Dwight Hollier | Counselor | 1801 North Tryon Street, Suite 309, Charlotte, NC 28206 | 2006-12-15 |
| 1093213621 | Mishelle L Lockerby | Counselor | 5108 Reagan Dr, Charlotte, NC 28206 | 2018-01-29 |
| Find all providers in zip 28206 | ||||
| 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.