NPIMap

Organization Active NPI

Delta Behavioral Group, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1487904041
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4297 Issued in NC
Legal business name
DELTA BEHAVIORAL GROUP, PLLC
Practice address
10926 S Tryon St Ste E
Charlotte, NC 28273-4154
Phone
(855) 201-5498
Fax
(888) 849-4249
NPI assigned
Sep 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Authorized official

Name
Mr. Michael Machose, CAS, BCBA, LPANPI 1992074934
Title
Managing Member/Behavior Analyst
Phone
(704) 931-8870

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
Community/Behavioral Health Agency 251S00000X 4297 NC Primary

Addresses

Primary practice location

10926 S Tryon St Ste E
Charlotte, NC 28273-4154

Mailing address

10926 S Tryon St Ste E
Charlotte, NC 28273-4154
Phone (855) 201-5498

National Provider Directory

National Provider Directory

Locations

10926 S Tryon St
Ste E
Charlotte, NC 28273
Phone (855) 201-5498

Practitioners & affiliated clinicians

Practitioners 248

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 248

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1487904041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10926 S TRYON ST STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734154",
            "telephone_number": "855-201-5498",
            "fax_number": "888-849-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10926 S TRYON ST STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734154",
            "telephone_number": "855-201-5498",
            "fax_number": "888-849-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA BEHAVIORAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "MACHOSE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER/BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "704-931-8870",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAS, BCBA, LPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "4297",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 30, 2019; 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.