Active NPI
Palmetto Youth and Family Services
- Community/Behavioral Health Agency
- Charlotte, NC
National Provider Identifier
1235435272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 4993
- Legal business name
- PALMETTO YOUTH AND FAMILY SERVICES
- Practice address
- 16101 Wrights Ferry Rd
Charlotte, NC 28278-7635 - Phone
- (803) 546-0313
- NPI assigned
- Feb 9, 2011
- Last updated
- Feb 9, 2011
- 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
- Natasha Rena' Branon, LPC
- Title
- Clinical Director
- Phone
- (803) 546-0313
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 4993 | SC | Primary |
Addresses
Primary practice location
16101 Wrights Ferry Rd
Charlotte, NC 28278-7635
Mailing address
16101 Wrights Ferry Rd
Charlotte, NC 28278-7635
Phone (803) 546-0313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC1027 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Community/Behavioral Health Agency
- Columbia, SC
- NPI 1447368188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297209600000",
"number": "1235435272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16101 WRIGHTS FERRY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282787635",
"telephone_number": "803-546-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16101 WRIGHTS FERRY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282787635",
"telephone_number": "803-546-0313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO YOUTH AND FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-09",
"last_updated": "2011-02-09",
"status": "A",
"authorized_official_last_name": "BRANON",
"authorized_official_first_name": "NATASHA",
"authorized_official_middle_name": "RENA'",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "803-546-0313",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "SC",
"license": "4993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC1027",
"state": "SC"
}
],
"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 Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.