Elon Homes and Schools for Children

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ELON HOMES AND SCHOOLS FOR CHILDREN

Practice address

3801 Beatties Ford Rd
Charlotte, NC 28216-3215

Phone

(704) 716-6521

NPI assigned

May 1, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kamilah McPhail McKissick, PH.D

Title

Clinical Director

Phone

(704) 369-2502

Specialties & licenses 1

Addresses

Other names 1

• Kids Central of the Carolinas, LLC Other name

Tax ID family

Elon Homes and Schools for Children2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Kids Central of the Carolinas, LLC

  • Psychologist
  • Charlotte, NC
  • NPI 1952406845
  NPD tax ID

Locations

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1114362423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SHARON RD W",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105663",
            "telephone_number": "704-369-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BEATTIES FORD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163215",
            "telephone_number": "704-716-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELON HOMES AND SCHOOLS FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "MCKISSICK",
        "authorized_official_first_name": "KAMILAH",
        "authorized_official_middle_name": "MCPHAIL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "704-369-2502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Central of the Carolinas, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ricky D. Ellsaesser, CRNA
• Alissa Kathleen Ellstrom, LCSW
• Sara Elmakawy, LCSWA
• Amanda Elmore
• Rachael Hunt Elmore, MA, LPC
• Sara Mohamed Elrefai, MD
• Kaitlyn Geraldine Elrod, PA-C ATC
• Els Transportation Services LLC
• Lina Elsamani
• Jonthomas Elsasser, PA-C

• Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.