NPIMap

Organization Active NPI

Piedmont Adolescent Services

  • Mental Illness Community Based Residential Treatment Facility
  • Gastonia, NC
National Provider Identifier
1154467330
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-036 199 Issued in NC
Legal business name
PIEDMONT ADOLESCENT SERVICES
Practice address
2424 Sunset Ave
Apt 2
Gastonia, NC 28052-1182
Phone
(704) 842-6994
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Lee Taylor
Title
Executive Director
Phone
(704) 923-2746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-036 199 NC Primary

Addresses

Primary practice location

2424 Sunset Ave
Apt 2
Gastonia, NC 28052-1182

Mailing address

PO Box 12803
Gastonia, NC 28052-0015
Phone (704) 842-6994

National Provider Directory

National Provider Directory
Tax ID family
Piedmont Adolescent Services2 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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154467330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12803",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280520015",
            "telephone_number": "704-842-6994",
            "fax_number": "704-842-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 SUNSET AVE",
            "address_2": "APT 2",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280521182",
            "telephone_number": "704-842-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT ADOLESCENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-923-2746",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-036 199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.