NPIMap

Organization Active NPI

Outlook Forensic & Behavioral Health, Inc.

Doing business as Outlook Behavioral Health

  • Non-Pharmacy Dispensing Site
  • Huntersville, NC
National Provider Identifier
1275807653
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
OUTLOOK FORENSIC & BEHAVIORAL HEALTH, INC.
Doing business as
Outlook Behavioral Health
Practice address
14636 Reese Blvd W
Suite a
Huntersville, NC 28078-7946
Phone
(704) 841-3886
NPI assigned
Mar 1, 2012
Last updated
Mar 1, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
OUTLOOK FORENSIC & BEHAVIORAL HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Jonathan K. Stoudmire, M.D.NPI 1710959788
Title
President
Phone
(704) 841-3886

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)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

14636 Reese Blvd W
Suite a
Huntersville, NC 28078-7946

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

Other names 1

  • Outlook Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Outlook Forensic and Behavioral Health Inc5 organizations share this tax ID, including this one
Part of
Outlook Forensic and Behavioral Health Inc

Other organizations with this tax ID 4

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

Locations

14636 Reese Blvd W
Ste A
Huntersville, NC 28078
Phone (704) 841-3886

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1275807653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14636 REESE BLVD W",
            "address_2": "SUITE A",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787946",
            "telephone_number": "704-841-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTLOOK FORENSIC & BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUTLOOK FORENSIC & BEHAVIORAL HEALTH, INC.",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "STOUDMIRE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-841-3886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outlook Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.