NPIMap

Organization Active NPI

Anderson Behavioral Health, Inc

  • Foster Care Agency
  • Marshville, NC
National Provider Identifier
1235540212
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
ANDERSON BEHAVIORAL HEALTH, INC
Practice address
1915 Hasty Road
Marshville, NC 28103-8103
Phone
(704) 290-4246
Fax
(704) 749-3842
NPI assigned
May 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Demetric Hailey
Title
Billing Specialist
Phone
(704) 624-4620

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

1915 Hasty Road
Marshville, NC 28103-8103

Mailing address

1915 Hasty Rd
Marshville, NC 28103-0029
Phone (704) 624-4620

Other names 1

  • Anderson Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

1915 Hasty Rd
Marshville, NC 28103
Phone (704) 240-4482

Practitioners & affiliated clinicians

Practitioners 3

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": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1235540212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 HASTY RD",
            "city": "MARSHVILLE",
            "state": "NC",
            "postal_code": "281030029",
            "telephone_number": "704-624-4620",
            "fax_number": "704-624-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 HASTY ROAD",
            "city": "MARSHVILLE",
            "state": "NC",
            "postal_code": "281038103",
            "telephone_number": "704-290-4246",
            "fax_number": "704-749-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "HAILEY",
        "authorized_official_first_name": "DEMETRIC",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "704-624-4620"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anderson Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.