Community Specialized Services, Inc.

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

COMMUNITY SPECIALIZED SERVICES, INC.

Practice address

15 Spencer Ave NW
Concord, NC 28025-4316

Phone

(704) 795-7600

Fax

(704) 795-7601

NPI assigned

Feb 16, 2007

Last updated

May 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Wendy Ann Castle, MSW

Title

Executive Director

Phone

(704) 795-7600

Specialties & licenses 4

Addresses

Locations

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.

• Alisa Russell, M.S.

  • Mental Health Counselor
  • Concord, NC
  • NPI 1710101209
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1275677940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1298",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280261298",
            "telephone_number": "704-795-7600",
            "fax_number": "704-795-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SPENCER AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254316",
            "telephone_number": "704-795-7600",
            "fax_number": "704-795-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SPECIALIZED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-795-7600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "125",
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocco Anthony Colucci, DMD
• Matthew Comiskey, DDS
• Sara Jane Commander, PA
• Jack Harrington Commeville
• Community Partners Homecare LLC
• Clifford Clyde Compton III, DDSPA
• Conceptions Counseling
• Concord Children's Clinic
• Concord Christian Center
• Concord Eye Care Center, O.D., P.a.

• Foster Care Agency in Concord, NC
• Providers in Concord, NC by specialty
• Foster Care Agency in North Carolina

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