Organization Active NPI

Hopeway Wellness, LLC

Doing business as HopeWay Wellness

  • Multi-Specialty Clinic/Center
  • Charlotte, NC
National Provider Identifier
1578336384
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HOPEWAY WELLNESS, LLC
Doing business as
HopeWay Wellness
Practice address
4014 Monroe Road
Suite 270
Charlotte, NC 28205
Phone
(980) 859-2106
NPI assigned
Nov 2, 2023
Organization subpart
Yes
Parent organization
HOPEWAY FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Dr. Alyson R. Kuroski-Mazzei, DO, MRO, DFAPA, FASA
Title
Ceo & Chief Compliance Officer
Phone
(980) 859-2106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4014 Monroe Road
Suite 270
Charlotte, NC 28205

Mailing address

1717 Sharon Rd W
Charlotte, NC 28210-5663
Phone (980) 859-2106

Other names 2

  • HopeWay Wellness Doing business as
  • HopeWay Wellness Clinic: Adolescent Mental Health TX Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Hopeway Wellness3 organizations share this tax ID, including this one
Part of
Hopeway Foundation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1578336384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SHARON RD W",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105663",
            "telephone_number": "980-859-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 MONROE ROAD",
            "address_2": "SUITE 270",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28205",
            "telephone_number": "980-859-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEWAY WELLNESS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPEWAY FOUNDATION",
        "enumeration_date": "2023-11-02",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "KUROSKI-MAZZEI",
        "authorized_official_first_name": "ALYSON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO & CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "980-859-2106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO, MRO, DFAPA, FASA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HopeWay Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HopeWay Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HopeWay Wellness Clinic: Adolescent Mental Health TX Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 8, 2024; 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.