I Am Whole

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

I AM WHOLE

Doing business as

I Am Whole

Practice address

2412 Nettleton CT
Matthews, NC 28105-3216

Phone

(704) 957-3901

Fax

(704) 708-5726

NPI assigned

Jun 17, 2019

Last updated

Jun 17, 2019By 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

Monica Catrice WilliamsNPI 1508228107

Title

Ceo/President

Phone

(704) 957-3901

Specialties & licenses 4

Addresses

Other names 1

• I AM WHOLE Doing business as

Electronic endpoints 1

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.

• Monica Catrice Williams, LCSWA

  • Clinical Social Worker
  • Matthews, NC
  • NPI 1508228107
  NPD Authorized official

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1306406905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 NETTLETON CT",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281053216",
            "telephone_number": "704-957-3901",
            "fax_number": "704-708-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 NETTLETON CT",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281053216",
            "telephone_number": "704-957-3901",
            "fax_number": "704-708-5726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 W. Trade St.",
            "address_purpose": "LOCATION",
            "city": "Charlottle",
            "state": "NC",
            "postal_code": "28202",
            "country_code": "US",
            "telephone_number": "980-339-9684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "I AM WHOLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "CATRICE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "704-957-3901"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mc.williams@hawkinshillinc.com",
            "affiliation": "N",
            "endpointDescription": "owner",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "2412 Nettleton Ct",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281053216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "I AM WHOLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Randell Allen Hyler Jr., MD
• I Am We Foundation
• Laura Ibanez Herrera
• Clay Corpening Ijams, AGPCNP
• Illumination Foundation of North Carolina
• Luanne Brigman Imholt, MSW
• Indigo Therapy, PLLC

• Adolescent and Children Mental Health Clinic/Center in Matthews, NC
• Providers in Matthews, 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 Jun 17, 2019; 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.