Chai Clinical Concepts, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHAI CLINICAL CONCEPTS, PLLC

Practice address

1136 Sam Newell Rd Ste A1
Matthews, NC 28105-5063

Phone

(828) 279-4271

NPI assigned

Feb 23, 2024

Organization subpart

No

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

Authorized official

Name

Nivedita Roy, LCMHC/LCASNPI 1710922257

Title

Owner

Phone

(828) 279-4271

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

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

• Nivedita Roy, LCAS, LCMHC

  • Mental Health Counselor
  • Matthews, NC
  • NPI 1710922257
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1285490656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "SKYLAND",
            "state": "NC",
            "postal_code": "287761328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 SAM NEWELL RD STE A1",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055063",
            "telephone_number": "828-279-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAI CLINICAL CONCEPTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "NIVEDITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-279-4271",
        "authorized_official_credential": "LCMHC/LCAS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Michelle Caveny, MA, LMFT
• Bintou Ceesay, LMBT
• Ceh
• Center for Wellness, PA
• Michael Anthony Cerasaro II, DO
• Ronea Harris Chambers, M.D.
• Chandler Chiropractic Center, P.a.
• Susan Gail Chandler, D.C.
• Heather Rose Chapman, FNP-BC
• Mark R Chapman Jr., COF

• Community/Behavioral Health Agency in Matthews, NC
• Providers in Matthews, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.