Organization Active NPI

Alisaha's Home Center

  • Health Service Psychologist
  • Charlotte, NC
National Provider Identifier
1053755934
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
192299 Issued in NC
Legal business name
ALISAHA'S HOME CENTER
Practice address
8221 Ainsworth St
Charlotte, NC 28216-3693
Phone
(704) 957-1846
Fax
(704) 599-2915
NPI assigned
Apr 23, 2013
Last updated
Apr 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Mrs. Lisa Marie Harden
Title
Ceo/Manager
Phone
(704) 957-1846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 192299 NC Primary

Addresses

Primary practice location

8221 Ainsworth St
Charlotte, NC 28216-3693

Mailing address

8221 Ainsworth St
Charlotte, NC 28216-3693
Phone (704) 957-1846

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1053755934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8221 AINSWORTH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163693",
            "telephone_number": "704-957-1846",
            "fax_number": "704-599-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 AINSWORTH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163693",
            "telephone_number": "704-957-1846",
            "fax_number": "704-599-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALISAHA'S HOME CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO/MANAGER",
        "authorized_official_telephone_number": "704-957-1846",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "192299",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 23, 2013; 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.