NPIMap

Organization Active NPI

Overseer, LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1306057112
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OVERSEER, LLC
Practice address
1801 N Tryon St
Suite 105-B
Charlotte, NC 28206-2704
Phone
(704) 940-1288
Fax
(704) 940-1287
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Mrs. ABA Logan Taylor, BA
Title
Clinical Director
Phone
(704) 490-1342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1801 N Tryon St
Suite 105-B
Charlotte, NC 28206-2704

Mailing address

1801 N Tryon St
Suite 105-B
Charlotte, NC 28206-2704
Phone (704) 940-1288

National Provider Directory

National Provider Directory
Tax ID family
Overseer3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1801 N Tryon St
Ste B105
Charlotte, NC 28206
Phone (704) 940-1288

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1306057112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N TRYON ST",
            "address_2": "SUITE 105-B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062704",
            "telephone_number": "704-940-1288",
            "fax_number": "704-940-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N TRYON ST",
            "address_2": "SUITE 105-B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062704",
            "telephone_number": "704-940-1288",
            "fax_number": "704-940-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERSEER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ABA",
        "authorized_official_middle_name": "LOGAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "704-490-1342",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.