NPIMap

Organization Active NPI

Uptown Psychotherapy, PLLC

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1497100689
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003040 Issued in NC
Legal business name
UPTOWN PSYCHOTHERAPY, PLLC
Practice address
1818 Lombardy Cir
Charlotte, NC 28203-6056
Phone
(704) 412-4046
Fax
(800) 682-8178
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Meredith Stewart, LCSW
Title
Co-Owner
Phone
(704) 333-8861

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 4838 NC
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X A10859 NC
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C003040 NC Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C004981 NC
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C004673 NC

Addresses

Primary practice location

1818 Lombardy Cir
Charlotte, NC 28203-6056

Mailing address

1818 Lombardy Cir
Charlotte, NC 28203-6056
Phone (704) 412-4046

Other names 1

  • Uptown Psychology Doing business as

National Provider Directory

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": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1497100689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 LOMBARDY CIR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036056",
            "telephone_number": "704-412-4046",
            "fax_number": "800-682-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 LOMBARDY CIR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036056",
            "telephone_number": "704-412-4046",
            "fax_number": "800-682-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "704-333-8861",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4838",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A10859",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003040",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004981",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uptown Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 3, 2017; 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.