ESSENTIAL ASSESSMENTS AND BEHAVIORAL HEALTH (NPI# 1568849446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568849446 |
| Entity Type | Organization |
| Organization Name | ESSENTIAL ASSESSMENTS AND BEHAVIORAL HEALTH |
| Practice Address |
9635 Southern Pine Blvd Suite 102 Charlotte NC 28273-5540 |
| Practice Telephone | 9809395099 |
| Practice Fax Number | 7049726228 |
| Mailing Telephone | 9809395099 |
| Mailing Fax Number | 7049726228 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |
| Authorized Official Name | SHAVONDA BEAN (PRESIDENT) |
| Authorized Official Telephone | 9809395099 |
| Authorized Official Credential | LPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
9635 SOUTHERN PINE BLVD SUITE 102 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28273-5540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275783078 | Denise Simone Mason | Social Worker | 9635 Southern Pine Blvd, Suite 127, Charlotte, NC 28273-5558 | 2008-09-29 |
| 1528593753 | Solutions for Life; Counseling, Life Coaching, and Consulting Services | Community/Behavioral Health | 9635 Southern Pine Blvd, Suite 122,124, Charlotte, NC 28273-5540 | 2017-04-25 |
| 1699218875 | Tracy Chavonne Setzer | Social Worker | 9635 Southern Pine Blvd, Charlotte, NC 28273-5540 | 2016-11-21 |
| 1952782013 | Tender Loving Care Home Health Care | In Home Supportive Care | 9635 Southern Pine Blvd, Suite # 136, Charlotte, NC 28273-5540 | 2015-06-15 |
| 1407244718 | Kristin N. Davis | Marriage & Family Therapist | 9635 Southern Pine Blvd, Ste 101, Charlotte, NC 28273-5540 | 2015-01-08 |
| 1811310329 | Marie C Gladden | Specialist | 9635 Southern Pine Blvd, Ste 154, Charlotte, NC 28273-5558 | 2014-02-04 |
| 1669726600 | Freedom Now Healthcare Services | Nurse Practitioner | 9635 Southern Pine Blvd, 122, Charlotte, NC 28273-5558 | 2012-10-29 |
| 1285905125 | Life Line Connection LLC | Exclusive Provider Organization | 9635 Southern Pine Blvd, Charlotte, NC 28273-5558 | 2012-01-24 |
| 1184955460 | Tiffany Clarissa Huggins | Counselor | 9635 Southern Pine Blvd, Suite 116, Charlotte, NC 28273-5558 | 2010-01-26 |
| 1760710412 | Ichep of Charlotte, LLC | Counselor | 9635 Southern Pine Blvd, Suite 126, Charlotte, NC 28273-5558 | 2009-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588204846 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2520 Whitehall Park Dr Ste 1000, Charlotte, NC 28273 | 2020-01-14 |
| 1295387637 | Excel Eyecare Od Pa | Optometrist | 14154 Steele Creek Rd, Ste 200, Charlotte, NC 28273 | 2019-07-16 |
| 1992262018 | Katherine Grace Bias | Speech-Language Pathologist | 11709 Freuhaud Dr Ste. 123, Charlotte, NC 28273 | 2019-02-25 |
| 1487111977 | Shanise Danielle Lewis | Respite Care | Top Notch Nurse Staffing & Home Health LLC., 2015 Ayrsley Town Blvd. Suite 202, Charlotte, NC 28273 | 2019-02-21 |
| 1700361953 | Timothy John Hartman | Chiropractor | 2550 West Arrowood Road Suite 104, Charlotte, NC 28273 | 2018-10-03 |
| 1144703141 | Shaquanda King | Behavior Technician | 15528 Baltinglass Ct., Charlotte, NC 28273 | 2018-09-14 |
| 1184106502 | Janelle Gillis | Behavioral Analyst | 13354 Calloway Glen Dr, Charlotte, NC 28273 | 2018-09-01 |
| 1730688680 | Style By Shandy Inc | Specialist | 2106 Arysley Town Blvd, A, Charlotte, NC 28273 | 2018-02-06 |
| 1063945582 | Bpolloni Consulting | Clinical Medical Laboratory | 11709 Fruehauf Drive, Suite 105 & 106, Charlotte, NC 28273 | 2017-04-11 |
| 1770038325 | Kerry Barbera | Dietitian, Registered | 12421 Belmont Mansion Dr, Charlotte, NC 28273 | 2016-08-23 |
| Find all providers in zip 28273 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123531 | Robert B Stroker | Psychologist | 10617 Kettering Dr Ste 213, Charlotte, NC 28226-4900 | 2020-01-09 |
| 1902460744 | Holly Hauser | Psychologist | 1905 J N Pease Pl Ste 104, Charlotte, NC 28262-4509 | 2019-04-26 |
| 1972944759 | Intrusted Care Solutions Inc | Psychologist | 2340 N Graham St Ste B, Charlotte, NC 28206-2506 | 2013-07-09 |
| 1790029791 | David E Mermelstein | Psychologist | 6201 Fairview Road, Ste 200, Charlotte, NC 28210-3297 | 2012-11-15 |
| 1598014011 | Jesse Selkin | Psychologist | 8832 Blakeney Professional Dr Ste 105, Charlotte, NC 28277-6717 | 2012-08-30 |
| 1629324975 | Kevin L Gyoerkoe | Psychologist | 8832 Blakeney Professional Dr, Suite 105, Charlotte, NC 28277-6809 | 2012-07-24 |
| 1235406109 | Redlak Recovery Center, Pllc | Psychologist | 10801 Johnston Rd Ste 217, Charlotte, NC 28226-7856 | 2011-11-21 |
| 1801172051 | Chad Wesley Kraska | Psychologist | 7400 Carmel Executive Park Dr Ste 135, Charlotte, NC 28226-8400 | 2011-11-01 |
| 1679805717 | Rose Marie Leday | Psychologist | 3440 Toringdon Way, Suite #205, Charlotte, NC 28277-3190 | 2010-01-29 |
| 1023241965 | Briana Melissa Webber-lind | Psychologist | 12815 Longstraw Rd, Charlotte, NC 28227-3686 | 2009-08-26 |
| 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.