Organization Active NPI

Community Treatment Alternatives, Inc

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1194916122
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY TREATMENT ALTERNATIVES, INC
Practice address
4901 Rosena Dr
Charlotte, NC 28227-3007
Phone
(704) 563-8400
NPI assigned
Aug 6, 2007
Last updated
Aug 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Regina Depass
Title
Executive Director
Phone
(704) 323-9266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

4901 Rosena Dr
Charlotte, NC 28227-3007

Mailing address

5410 Frederick Street
Indian Trail, NC 28079-6509
Phone (704) 323-9266

Other identifiers 1

IdentifierTypeStateIssuer
8301762BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Community Treatment Alternatives3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1194916122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 FREDERICK STREET",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280796509",
            "telephone_number": "704-323-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 ROSENA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282273007",
            "telephone_number": "704-563-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY TREATMENT ALTERNATIVES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "DEPASS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-323-9266"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301762B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.