Organization Active NPI

S.T.E.P'S Developmental Academy, Inc.

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1437284494
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
S.T.E.P'S DEVELOPMENTAL ACADEMY, INC.
Practice address
1516B Alleghany St
Charlotte, NC 28208-0801
Phone
(980) 207-1819
Fax
(980) 207-1832
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Mr. James Weldon Johnson, QP
Title
Executive Director
Phone
(704) 882-9553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1516B Alleghany St
Charlotte, NC 28208-0801

Mailing address

PO Box 2007
Indian Trail, NC 28079-2007
Phone (704) 532-5757

Other practice location 1

4822 Albemarle Rd Ste 112
Charlotte, NC 28205-6612
Phone (704) 532-5757

Other practice location 2

108 Indian Trail Rd S
Indian Trail, NC 28079-9669
Phone (704) 234-2501

Other practice location 3

3145 Driftwood Dr
Charlotte, NC 28205-6505
Phone (704) 537-3334

Other practice location 4

1516B Alleghany St
Charlotte, NC 28208-0801
Phone (980) 207-1819

Other practice location 5

4822 Albemarle Rd Ste 112
Charlotte, NC 28205-6612
Phone (704) 532-5757

Other identifiers 2

IdentifierTypeStateIssuer
3409568MedicaidNC
8301170MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120410000025 NC Part B Supplier - Clinic/Group Practice 0345401816 Receives reassigned benefits from 3 practitioners
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

5855 Executive Center Dr
Ste 101
Charlotte, NC 28212
Phone (910) 317-3456

1516B Alleghany St
Charlotte, NC 28208
Phone (980) 207-1819

4822 Albemarle Rd
Ste 112
Charlotte, NC 28205
Phone (704) 532-5757

4822 Albemarle Rd
#112B
Charlotte, NC 28205
Phone (704) 532-5757

108 Indian Trail Rd S
Indian Trail, NC 28079
Phone (704) 234-2501

Practitioners & affiliated clinicians

Practitioners 6

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1437284494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2007",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280792007",
            "telephone_number": "704-532-5757",
            "fax_number": "704-532-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516B ALLEGHANY ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282080801",
            "telephone_number": "980-207-1819",
            "fax_number": "980-207-1832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4822 Albemarle Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282056612",
            "country_code": "US",
            "telephone_number": "704-532-5757",
            "fax_number": "704-532-5948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Indian Trail Rd S",
            "address_purpose": "LOCATION",
            "city": "Indian Trail",
            "state": "NC",
            "postal_code": "280799669",
            "country_code": "US",
            "telephone_number": "704-234-2501",
            "fax_number": "704-234-2501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3145 Driftwood Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282056505",
            "country_code": "US",
            "telephone_number": "704-537-3334",
            "fax_number": "704-537-3330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1516B Alleghany St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282080801",
            "country_code": "US",
            "telephone_number": "980-207-1819",
            "fax_number": "980-207-1832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4822 Albemarle Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282056612",
            "country_code": "US",
            "telephone_number": "704-532-5757",
            "fax_number": "704-532-5948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "S.T.E.P'S DEVELOPMENTAL ACADEMY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WELDON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-882-9553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409568",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301170",
            "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 Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.