New Heights Behavioral Health, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

NEW HEIGHTS BEHAVIORAL HEALTH, PLLC

Practice address

4929 Jean Grimes Dr.
#304
Charlotte, NC 28269-3061

Phone

(704) 641-7475

NPI assigned

May 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Tawanda Bostic, NPNPI 1154576197

Title

Owner

Phone

(704) 641-7475

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tawanda Nitchelle Bostic, FNP-BC/PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Worth, TX
  • NPI 1154576197

  NC

  Medicare reassignment Authorized official
• Jennifer Hewett

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
  • NPI 1952279010
  NPD

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1053934356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 JEAN GRIMES DR.",
            "address_2": "#304",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693061",
            "telephone_number": "704-641-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 JEAN GRIMES DR.",
            "address_2": "#304",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693061",
            "telephone_number": "704-641-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HEIGHTS BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "BOSTIC",
        "authorized_official_first_name": "TAWANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-641-7475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.