Organization Active NPI

Cohoba

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charlotte, NC
National Provider Identifier
1487368742
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COHOBA
Practice address
700 N Tryon St
Charlotte, NC 28202-2222
Phone
(704) 644-9613
NPI assigned
Jan 11, 2023
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Naomi De la Cruz SpencerNPI 1689191983
Title
Employee
Phone
(704) 644-9613

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

700 N Tryon St
Charlotte, NC 28202-2222

Mailing address

3143 Rosehill Dr
Charlotte, NC 28212-5722
Phone (704) 644-9613

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@cohoba.us Direct

National Provider Directory

National Provider Directory

Locations

700 N Tryon St
Charlotte, NC 28202
Phone (704) 432-2919

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1487368742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3143 ROSEHILL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125722",
            "telephone_number": "704-644-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022222",
            "telephone_number": "704-644-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHOBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ SPENCER",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "704-644-9613"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@cohoba.us",
            "affiliation": "N",
            "endpointDescription": "Organization's email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "700 N Tryon St",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282022222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 11, 2023; 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.