Organization Active NPI

Iris Autism & Developmental Services LLC

  • Psychologist
  • Greensboro, NC
National Provider Identifier
1174327985
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
IRIS AUTISM & DEVELOPMENTAL SERVICES LLC
Practice address
1451 S Elm Eugene St Ste 3107
Greensboro, NC 27406-2200
Phone
(336) 298-2323
NPI assigned
Apr 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Mangesh Mohite
Title
Owner
Phone
(336) 298-2323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1451 S Elm Eugene St Ste 3107
Greensboro, NC 27406-2200

Mailing address

6405 High View Rd
Greensboro, NC 27410-8361
Phone (336) 298-2323

National Provider Directory

National Provider Directory

Locations

1451 S Elm Eugene St
Ste 3107
Greensboro, NC 27406
Phone (336) 298-2323

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1174327985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 HIGH VIEW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108361",
            "telephone_number": "336-298-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 S ELM EUGENE ST STE 3107",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274062200",
            "telephone_number": "336-298-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS AUTISM & DEVELOPMENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "MOHITE",
        "authorized_official_first_name": "MANGESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-298-2323"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.