Innervision Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL 060 1242 Issued in NC

Legal business name

INNERVISION INC.

Practice address

1000 Baxter St
Charlotte, NC 28204-2859

Phone

(704) 377-5047

Fax

(704) 377-5043

NPI assigned

Jul 11, 2012

Last updated

Jul 11, 2012By 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

Dr. Cheryl Agnes Nicholas, PHD

Title

Ceo/Director

Phone

(704) 377-5047

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Innervision 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.

• Innervision, Inc.

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1558483966
  NPD tax ID

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1346505617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31083",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282311083",
            "telephone_number": "704-377-5047",
            "fax_number": "704-377-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BAXTER ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042859",
            "telephone_number": "704-377-5047",
            "fax_number": "704-377-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERVISION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "AGNES",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "704-377-5047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL 060 1242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300613",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inner Strength Counseling Services
• Inner Transformation Therapeutic Services, PLLC
• Innerchange Homes LLC
• Innergy, LLC
• Innerlink Alliance Care Solutions
• Innervision, Inc.
• David Mathew Innis, D.C.
• Robert Mathew Innis, D.C.
• Innocent Bee LLC
• Innovation Health LLC

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, 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 Jul 11, 2012; 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.