NPIMap

Organization Active NPI

United Treatment Facility, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Charlotte, NC
National Provider Identifier
1346338233
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
060844 Issued in NC
Legal business name
UNITED TREATMENT FACILITY, INC
Practice address
5004 Community Cir
Charlotte, NC 28215-1550
Phone
(704) 569-9192
Fax
(704) 569-7912
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

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

Authorized official

Name
Mr. James R Singleton, BS QMHP
Title
Executive Director / Owner
Phone
(704) 466-0046

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 060595 NC
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 060844 NC Primary

Addresses

Primary practice location

5004 Community Cir
Charlotte, NC 28215-1550

Mailing address

PO Box 9329
Charlotte, NC 28299-9329
Phone (704) 466-0046

Other identifiers 4

IdentifierTypeStateIssuer
MHL 060 696OtherNCNC LICENSE
MHL 060 1012OtherNCNC LICENSE
MHL 060 844OtherNCNC LICENSE
MHL 060 595OtherNCNC LICENSE

National Provider Directory

National Provider Directory
Tax ID family
United Treatment Facility Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1346338233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9329",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282999329",
            "telephone_number": "704-466-0046",
            "fax_number": "704-569-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 COMMUNITY CIR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282151550",
            "telephone_number": "704-569-9192",
            "fax_number": "704-569-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED TREATMENT FACILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR / OWNER",
        "authorized_official_telephone_number": "704-466-0046",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS QMHP"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "060595",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "060844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "MHL 060 696",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "MHL 060 1012",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "MHL 060 844",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "MHL 060 595",
            "state": "NC"
        }
    ],
    "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 Sep 2, 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.