Organization Active NPI

It Takes a Village Youth and Family Services

  • Adolescent and Children Mental Health Clinic/Center
  • Charlotte, NC
National Provider Identifier
1013156942
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
IT TAKES A VILLAGE YOUTH AND FAMILY SERVICES
Doing business as
It Takes a Village Youth and Family Services
Practice address
5736 N Tryon St
Suite 105,116
Charlotte, NC 28213-6850
Phone
(980) 819-7448
Fax
(980) 819-7449
NPI assigned
Feb 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Mr. Dennis Dixon, OWNER
Title
Director
Phone
(980) 819-7448

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X NC Primary

Addresses

Primary practice location

5736 N Tryon St
Suite 105,116
Charlotte, NC 28213-6850

Mailing address

5736 N Tryon St
Suite 105, 116
Charlotte, NC 28213-6850
Phone (980) 819-7448

Other names 1

  • It Takes a Village Youth and Family Services Doing business as

National Provider Directory

National Provider Directory

Locations

5736 N Tryon St
Ste 105116
Charlotte, NC 28213
Phone (980) 819-7448

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1013156942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5736 N TRYON ST",
            "address_2": "SUITE 105, 116",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136850",
            "telephone_number": "980-819-7448",
            "fax_number": "980-819-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 N TRYON ST",
            "address_2": "SUITE 105,116",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136850",
            "telephone_number": "980-819-7448",
            "fax_number": "980-819-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IT TAKES A VILLAGE YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "980-819-7448",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "It Takes a Village Youth and Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 14, 2012; 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.