NPIMap

Organization Active NPI

Community Treatment Alternatives

  • Mental Illness Community Based Residential Treatment Facility
  • Charlotte, NC
National Provider Identifier
1003952227
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
060-857 Issued in NC
Legal business name
COMMUNITY TREATMENT ALTERNATIVES
Practice address
3517 Cross Winds Rd
Charlotte, NC 28227
Phone
(704) 532-5883
Fax
(704) 563-8477
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Regina Depass
Title
Executive Director
Phone
(704) 323-9266

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 060-857 NC Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL#060-857 NC

Addresses

Primary practice location

3517 Cross Winds Rd
Charlotte, NC 28227

Mailing address

PO Box 215
Matthews, NC 28106-0215
Phone (704) 323-9266

Other identifiers 1

IdentifierTypeStateIssuer
6603882MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Community Treatment Alternatives3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1003952227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281060215",
            "telephone_number": "704-323-9266",
            "fax_number": "704-563-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 CROSS WINDS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28227",
            "telephone_number": "704-532-5883",
            "fax_number": "704-563-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY TREATMENT ALTERNATIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "DEPASS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-323-9266",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "060-857",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL#060-857",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603882",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.