MECKLENBURG OPEN DOOR, INC.


Address: 245 N Cedar St, Charlotte, NC 28202-1212
Phone: 7043750775

MECKLENBURG OPEN DOOR, INC. (NPI# 1790819621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790819621
Entity Type Organization
Organization Name MECKLENBURG OPEN DOOR, INC.
Practice Address 245 N Cedar St
Charlotte
NC 28202-1212
Mailing Address 1515 Mockingbird Ln
Suite 1015
Charlotte
NC 28209-3236
Practice Telephone 7043750775
Practice Fax Number 7043757902
Mailing Telephone 7045253255
Mailing Fax Number 7045250949
Enumeration Date 2007-03-15
Last Update Date 2020-08-22
Authorized Official Name MR. EDWARD G PAYTON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7045253255
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
MHL-060-048 NC Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 7802706 05

Other Provider IDs and Locations

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
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
1750414132 Mecklenburg Open Door, Inc. Clinic/Center 3711 Carmel Forest Dr, Charlotte, NC 28226-8117 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

Office Location

Street Address 245 N CEDAR ST
City CHARLOTTE
State NC
Zip Code 28202-1212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568762292 Monarach Assisted Living Facility 245 N Cedar St, Charlotte, NC 28202-1212 2010-10-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609418425 Monarch Community/Behavioral Health 215 North Pine Street Unit 705, Charlotte, NC 28202 2019-10-14
1396211892 Brooke Graham Behavior Technician 107 New Edition Court Carey, Raleigh, NC 28202 2018-10-23
1740704352 Targetcare, Inc. Health Educator 831 E. Morehead Street, Suite 900, Charlotte, NC 28202 2017-07-26
1659828291 Reserve Health, PC Family Medicine 135 W 10th St, Charlotte, NC 28202 2016-09-01
1275905887 Tameka Wade Brewington Counselor 615 E 6th St Ste 112, Charlotte, NC 28202 2015-10-22
1962815159 Teisha Miller Social Worker 700 N. Tryon Street, Charlotte, NC 28202 2014-06-05
1699193672 Elizabeth Ann Peterson-vita Psychologist 700 East Stonewall Street, Suite 714, Charlotte, NC 28202 2014-04-07
1942631437 Avery Sales Durable Medical Equipment & Medical Supplies 103 W Morehead St, Charlotte, NC 28202 2013-12-09
1801236484 Annette Goodman Counselor 415 E. Trade Street, Charlotte, NC 28202 2013-06-27
1174960181 Jennifer D'silva Dentist 210 E Trade St # 484, Charlotte, NC 28202 2013-05-30
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

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]

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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
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Competitor

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City CHARLOTTE
Zip Code 28202

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Dataset Information

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.

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