Active NPI
Mentable
- Adult Mental Health Clinic/Center
- Charlotte, NC
National Provider Identifier
1609635895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- MENTABLE
- Practice address
- 8401 Medical Plaza Dr Ste 350
Charlotte, NC 28262-8700 - Phone
- (980) 223-4566
- Fax
- (980) 500-1522
- NPI assigned
- Mar 18, 2024
- 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
- Camellia Douglas
- Title
- Owner/Provider
- Phone
- (877) 306-1683
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
8401 Medical Plaza Dr Ste 350
Charlotte, NC 28262-8700
Mailing address
8401 Medical Plaza Dr Ste 350
Charlotte, NC 28262-8700
Phone (877) 306-1683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
525 N Tryon St
Ste 1500
Charlotte, NC 28202
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Charlotte, NC
- NPI 1114445905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780444800000",
"number": "1609635895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 MEDICAL PLAZA DR STE 350",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282628700",
"telephone_number": "877-306-1683",
"fax_number": "980-500-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 MEDICAL PLAZA DR STE 350",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282628700",
"telephone_number": "980-223-4566",
"fax_number": "980-500-1522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTABLE",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-18",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A",
"authorized_official_last_name": "DOUGLAS",
"authorized_official_first_name": "CAMELLIA",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "877-306-1683"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.