Scholar Athletics

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

SCHOLAR ATHLETICS

Practice address

4348 Triple Crown Dr SW Ste a
Concord, NC 28027-8925

Phone

(704) 594-1307

NPI assigned

Apr 6, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Derrick B Nix Sr.

Title

President

Phone

(704) 594-1307

Specialties & licenses 1

Addresses

Other names 1

• Scholar Athletics Youth Empowerment Network Other name

Locations

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1295268290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 TRIPLE CROWN DR SW STE A",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278925",
            "telephone_number": "704-594-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 TRIPLE CROWN DR SW STE A",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278925",
            "telephone_number": "704-594-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOLAR ATHLETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-594-1307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scholar Athletics Youth Empowerment Network",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charles J Schmittdiel, PHD
• Peter Schneider, M. D.
• Robert Anthony Schnietz, MD
• Andrew James Schoenbeck, MD
• Kathryn Elizabeth Schoenfeldt, PSYD
• Sean Schools
• Stephen Michael Schroeder, BCBA
• Lindsey Cross Schulten, LCSWA
• Gregory Alexander Schultz, NP
• Frank C Schwalbe III, MD

• Adolescent and Children Mental Health Clinic/Center in Concord, NC
• Providers in Concord, NC by specialty
• Adolescent and Children Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.