NPIMap

Organization Active NPI

Steps for Success Family Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Gastonia, NC
National Provider Identifier
1356616890
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL036296 Issued in NC
Legal business name
STEPS FOR SUCCESS FAMILY SERVICES
Practice address
1024 Junius St
Gastonia, NC 28052-1189
Phone
(704) 777-0343
Fax
(186) 670-9410
NPI assigned
Mar 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Dr. Natasha Michelle Douglas
Title
Owner
Phone
(704) 777-0343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL036296 NC Primary

Addresses

Primary practice location

1024 Junius St
Gastonia, NC 28052-1189

Mailing address

PO Box 43077
Charlotte, NC 28215-0038
Phone (704) 777-0343

Other identifiers 1

IdentifierTypeStateIssuer
MHL036296OtherNCLICENSE

National Provider Directory

National Provider Directory
Tax ID family
Steps for Success Family Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1356616890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43077",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282150038",
            "telephone_number": "704-777-0343",
            "fax_number": "186-670-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 JUNIUS ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280521189",
            "telephone_number": "704-777-0343",
            "fax_number": "186-670-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPS FOR SUCCESS FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-777-0343",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL036296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MHL036296",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.