Organization Active NPI

Stone Mountain School

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Black Mountain, NC
National Provider Identifier
1134422462
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
228-04-0003 Issued in NC
Legal business name
STONE MOUNTAIN SCHOOL
Practice address
126 Camp Elliott Rd
Black Mountain, NC 28711-9003
Phone
(828) 669-8639
Fax
(828) 669-2521
NPI assigned
Dec 8, 2010
Last updated
Dec 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Ms. Susan Hardy, M. ED.
Title
Executive Director
Phone
(828) 669-8639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 228-04-0003 NC Primary

Addresses

Primary practice location

126 Camp Elliott Rd
Black Mountain, NC 28711-9003

Mailing address

126 Camp Elliott Rd
Black Mountain, NC 28711-9003
Phone (828) 669-8639

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1134422462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 CAMP ELLIOTT RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287119003",
            "telephone_number": "828-669-8639",
            "fax_number": "828-669-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 CAMP ELLIOTT RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287119003",
            "telephone_number": "828-669-8639",
            "fax_number": "828-669-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE MOUNTAIN SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-669-8639",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M. ED."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "228-04-0003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.