EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC (NPI# 1861838492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861838492 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC |
| Practice Address |
10150 Mallard Creek Rd Suite 510 Charlotte NC 28262-9708 |
| Mailing Address |
200 Webb Blvd Po Box 629 Havelock NC 28532-1930 |
| Practice Telephone | 7043338220 |
| Mailing Telephone | 2524473892 |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |
| Authorized Official Name | RICHARD EDWARDS (VP SERVICE LINE) |
| Authorized Official Telephone | 9197838898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7200481 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538449434 | Easter Seals Ucp North Carolina & Virginia, Inc | Counselor | 33 Darlington Ave, Wilmington, NC 28403-1343 | 2011-08-23 |
| 1609016476 | Easter Seals Ucp North Carolina & Virginia, Inc | Community/Behavioral Health | 100 Loop St, Clinton, NC 28328-4062 | 2009-03-05 |
| Street Address |
10150 MALLARD CREEK RD SUITE 510 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-9708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396899019 | Easter Seals Ucp North Carolina & Virginia, Inc. | Case Management | 10150 Mallard Creek Rd, Charlotte, NC 28262-9708 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275958399 | Matthews Psychological and Family Services, Pllc | Psychologist | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2014-02-26 |
| 1508165986 | The G.l.u. Club, LLC | Psychologist | 9156 Eventine Ct, Charlotte, NC 28214-9323 | 2011-03-24 |
| 1639622491 | Ryan Michael Kelly | Psychologist | 8840 Blakeney Professional Dr, Suite 200, Charlotte, NC 28277-6718 | 2016-07-28 |
| 1164708228 | Shannon Kersey, Lpa | Psychologist | 4425 Randolph Rd, Suite 208, Charlotte, NC 28211-2351 | 2011-11-02 |
| 1134365497 | Theresa L. Gibson | Psychologist | 11111 Carmel Commons Blvd, Suite 220, Charlotte, NC 28226-5319 | 2008-12-16 |
| 1033354923 | Karen Shelton | Psychologist | 6025 Blakeney Park Dr, Suite 120, Charlotte, NC 28277-5703 | 2008-12-08 |
| 1427212323 | Christopher Joseph Vrabel | Psychologist | 10516 Park Rd, Charlotte, NC 28210-8405 | 2008-07-10 |
| 1386859429 | Nicolle Anderson | Psychologist | 1905 J N Pease Pl, Suite 104, Charlotte, NC 28262-4557 | 2007-05-11 |
| 1871697888 | Child & Family Development | Psychologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2006-09-11 |
| 1720190234 | Shannon Elizabeth Kersey | Psychologist | 4425 Randolph Rd, Suite 208, Charlotte, NC 28211-2351 | 2006-08-31 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, 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.