Organization Active NPI

Pinnacle Therapeutic Services

  • Psychiatric Residential Treatment Facility
  • Concord, NC
National Provider Identifier
1174969034
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
PINNACLE THERAPEUTIC SERVICES
Practice address
2612 Woodcrest Dr SW
Concord, NC 28027-8881
Phone
(704) 996-8684
Fax
(800) 755-1439
NPI assigned
May 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Ken Simmons
Title
Ceo
Phone
(704) 996-8684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NC Primary

Addresses

Primary practice location

2612 Woodcrest Dr SW
Concord, NC 28027-8881

Mailing address

PO Box 593
Huntersville, NC 28070-0593

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Therapeutic Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1174969034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 593",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280700593",
            "fax_number": "800-755-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 WOODCREST DR SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278881",
            "telephone_number": "704-996-8684",
            "fax_number": "800-755-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-996-8684"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.