Active NPI
Reaching Out Services, Inc.
- Preferred Provider Organization
- Charlotte, NC
National Provider Identifier
1578795274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- Legal business name
- REACHING OUT SERVICES, INC.
- Practice address
- 7005 Shannon Willow Rd
Ste 300
Charlotte, NC 28226-1300 - Phone
- (704) 904-8532
- Fax
- (704) 220-0607
- NPI assigned
- Aug 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cameo Nicole Nichols
- Title
- Admininstor
- Phone
- (704) 904-8532
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 9601323 | NC | |
| Preferred Provider Organization | 305R00000X | Primary |
Addresses
Primary practice location
7005 Shannon Willow Rd
Ste 300
Charlotte, NC 28226-1300
Mailing address
7005 Shannon Willow Rd
Ste 300
Charlotte, NC 28226-1300
Phone (704) 904-8532
National Provider Directory
National Provider Directory- Tax ID family
- Reaching Out Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Custodial Care Facility
- Peachland, NC
- NPI 1154578185
Locations
7005 Shannon Willow Rd
Ste 300
Charlotte, NC 28226
Phone (704) 904-7738
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1144534983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326412800000",
"number": "1578795274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7005 SHANNON WILLOW RD",
"address_2": "STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282261300",
"telephone_number": "704-904-8532",
"fax_number": "704-220-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7005 SHANNON WILLOW RD",
"address_2": "STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282261300",
"telephone_number": "704-904-8532",
"fax_number": "704-220-0607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REACHING OUT SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-13",
"last_updated": "2012-01-13",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "CAMEO",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "ADMININSTOR",
"authorized_official_telephone_number": "704-904-8532",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "9601323",
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"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 Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.