Organization Active NPI

The Blanchard Institute

  • Substance Abuse Rehabilitation Facility
  • Cornelius, NC
National Provider Identifier
1265047369
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
THE BLANCHARD INSTITUTE
Practice address
19902 N Cove Rd
Cornelius, NC 28031-6571
Phone
(704) 584-4111
Fax
(704) 266-1996
NPI assigned
Sep 15, 2020
Organization subpart
Yes
Parent organization
THE BLANCHARD INSTITUTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Angela Opalak
Title
Director of Business Operations
Phone
(704) 414-7239

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

19902 N Cove Rd
Cornelius, NC 28031-6571

Mailing address

10348 Park Rd
Charlotte, NC 28210-8507
Phone (704) 414-7239

Other identifiers 1

IdentifierTypeStateIssuer
MHL-060-1457OtherNCSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billing@theblanchardinstitute.com Direct

National Provider Directory

National Provider Directory
Tax ID family
The Blanchard Institute3 organizations share this tax ID, including this one
Part of
The Blanchard Institute

Other organizations with this tax ID 2

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

Locations

19902 North Cove Rd
Cornelius, NC 28031
Phone (704) 288-1097

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1265047369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10348 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108507",
            "telephone_number": "704-414-7239",
            "fax_number": "704-817-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19902 N COVE RD",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316571",
            "telephone_number": "704-584-4111",
            "fax_number": "704-266-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BLANCHARD INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE BLANCHARD INSTITUTE",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "OPALAK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "704-414-7239"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MHL-060-1457",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@theblanchardinstitute.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "19902 N Cove Rd",
            "city": "Cornelius",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280316571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.