Organization Active NPI

Alis Behavioral Health of North Carolina LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Charlotte, NC
National Provider Identifier
1619850682
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ALIS BEHAVIORAL HEALTH OF NORTH CAROLINA LLC
Practice address
5960 Fairview Rd Ste 300
Charlotte, NC 28210-0202
Phone
(720) 978-3435
NPI assigned
Jul 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Eli Gross
Title
Ceo
Phone
(720) 978-3435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

5960 Fairview Rd Ste 300
Charlotte, NC 28210-0202

Mailing address

1325 S Colorado Blvd Ste B705
Denver, CO 80222-3383

Other names 1

  • Alis Behavioral Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1619850682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S COLORADO BLVD STE B705",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282100202",
            "telephone_number": "720-978-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIS BEHAVIORAL HEALTH OF NORTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-978-3435"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alis Behavioral Health",
            "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 Jul 28, 2025; 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.