St Lazarus Behavioral Health PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ST LAZARUS BEHAVIORAL HEALTH PC

Practice address

8401 Medical Plaza Dr Ste 355
Charlotte, NC 28262-9718

Phone

(877) 624-5802

Fax

(888) 974-1542

NPI assigned

Jan 5, 2018

Organization subpart

No

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

Authorized official

Name

Meketa Deans

Title

Practice Manager

Phone

(877) 624-5802

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1417464900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MEDICAL PLAZA DR STE 355",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629718",
            "telephone_number": "877-624-5802",
            "fax_number": "888-974-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MEDICAL PLAZA DR STE 355",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629718",
            "telephone_number": "877-624-5802",
            "fax_number": "888-974-1542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 Medical Plaza Dr Ste 355",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282629718",
            "country_code": "US",
            "telephone_number": "877-624-5802",
            "fax_number": "888-974-1542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1056 Xray Drive",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542805",
            "country_code": "US",
            "telephone_number": "877-624-5802",
            "fax_number": "704-251-0942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST LAZARUS BEHAVIORAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "DEANS",
        "authorized_official_first_name": "MEKETA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "877-624-5802"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSC Charlotte Shamrock Operating Company LLC
• SSMH Services LLC
• Rick E St George, PT, OCS
• Victoria St Germain, DC
• Mary Marston St John, L.AC., DIPOM
• St. Francis of Charlotte Inc.
• Kelly B St. George, FNP
• Jean Wesley St. John, MS, CGC
• Mary St. John, MMS, PA-C
• Gregory St. Martin, MA, NCC

• Psychiatry Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.