Active NPI
Stone Mountain School
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Black Mountain, NC
National Provider Identifier
1134422462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- 228-04-0003
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.