NPIMap

Organization Active NPI

Northcross Medical Center

  • Cognitive & Behavioral Psychologist
  • Huntersville, NC
National Provider Identifier
1437474244
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
102875 (PROVISIONAL) Issued in NC
Legal business name
NORTHCROSS MEDICAL CENTER
Practice address
16511 Northcross Dr
Suite a
Huntersville, NC 28078-5021
Phone
(704) 895-3415
Fax
(704) 865-3416
NPI assigned
Apr 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Authorized official

Name
Mark Le, MDNPI 1417931213
Title
Supervisor/Owner
Phone
(704) 895-3415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X 102875 (PROVISIONAL) NC Primary
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X 102875 (PROVISIONAL) NC

Addresses

Primary practice location

16511 Northcross Dr
Suite a
Huntersville, NC 28078-5021

Mailing address

16511 Northcross Dr
Suite a
Huntersville, NC 28078-5021
Phone (704) 895-3415

National Provider Directory

National Provider Directory
Tax ID family
North Cross Medical Cen4 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.

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": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1437474244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16511 NORTHCROSS DR",
            "address_2": "SUITE A",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785021",
            "telephone_number": "704-895-3415",
            "fax_number": "704-895-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16511 NORTHCROSS DR",
            "address_2": "SUITE A",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785021",
            "telephone_number": "704-895-3415",
            "fax_number": "704-865-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCROSS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SUPERVISOR/OWNER",
        "authorized_official_telephone_number": "704-895-3415",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NC",
            "license": "102875 (PROVISIONAL)",
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "NC",
            "license": "102875 (PROVISIONAL)",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.