Organization Active NPI

Reaching Out Services, Inc.

  • Preferred Provider Organization
  • Charlotte, NC
National Provider Identifier
1578795274
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
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

Updated by the provider on Jan 13, 2012

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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.

Verify at the official NPI Registry.