NPIMap

Organization Active NPI

School Specified

  • Adolescent and Children Mental Health Clinic/Center
  • Cherokee, NC
National Provider Identifier
1245699016
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
SCHOOL SPECIFIED
Practice address
375 Sequoyah TRL
Cherokee, NC 28719
Phone
(828) 497-9163
Fax
(828) 497-6977
NPI assigned
Feb 22, 2016
Organization subpart
Yes
Parent organization
CHEROKEE INDIAN HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Casey Cooper
Title
Ceo
Phone
(828) 497-9163

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

375 Sequoyah TRL
Cherokee, NC 28719

Mailing address

1 Hospital Road
Caller Box C-268
Cherokee, NC 28719-9253
Phone (828) 497-9163

Other identifiers 2

IdentifierTypeStateIssuer
0767COtherNCBCBSNC
3400156MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Cherokee Indian Hosp24 organizations share this tax ID, including this one
Part of
Cherokee Indian Hosp

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1245699016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL ROAD",
            "address_2": "CALLER BOX C-268",
            "city": "CHEROKEE",
            "state": "NC",
            "postal_code": "287199253",
            "telephone_number": "828-497-9163",
            "fax_number": "828-497-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 SEQUOYAH TRL",
            "city": "CHEROKEE",
            "state": "NC",
            "postal_code": "28719",
            "telephone_number": "828-497-9163",
            "fax_number": "828-497-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL SPECIFIED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHEROKEE INDIAN HOSPITAL AUTHORITY",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-497-9163"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "0767C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400156",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherokee, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.