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Organization Active NPI

Carolinas Medical Center

Doing business as Atrium Health Behavioral Health Partial Hospitalization

  • Adult Mental Health Clinic/Center
  • Charlotte, NC
National Provider Identifier
1659560472
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MHL-060-009 Issued in NC
Legal business name
CAROLINAS MEDICAL CENTER
Doing business as
Atrium Health Behavioral Health Partial Hospitalization
Practice address
501 Billingsley Road
CHS Behavioral Health Charlotte Administration
Charlotte, NC 28211-1009
Phone
(704) 358-2710
Fax
(704) 358-2938
NPI assigned
Oct 17, 2007
Last updated
Aug 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Mr. Anthony Defurio
Title
Evp and Chief Financial Officer
Phone
(704) 355-3304

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MHL-060-009 NC Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

501 Billingsley Road
CHS Behavioral Health Charlotte Administration
Charlotte, NC 28211-1009

Mailing address

501 Billingsley Road
CHS Behavioral Health Charlotte Administration
Charlotte, NC 28211-1009
Phone (704) 358-2710

Other identifiers 1

IdentifierTypeStateIssuer
8300443DMedicaidNC

Other names 2

  • Atrium Health Behavioral Health Partial Hospitalization Doing business as
  • CHS Behavioral Health Partial Hospitalization Other name

National Provider Directory

National Provider Directory
Tax ID family
Carolinas Mecical Ctr N69 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1659560472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BILLINGSLEY ROAD",
            "address_2": "CHS BEHAVIORAL HEALTH CHARLOTTE ADMINISTRATION",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111009",
            "telephone_number": "704-358-2710",
            "fax_number": "704-358-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BILLINGSLEY ROAD",
            "address_2": "CHS BEHAVIORAL HEALTH CHARLOTTE ADMINISTRATION",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111009",
            "telephone_number": "704-358-2710",
            "fax_number": "704-358-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "DEFURIO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "EVP AND CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "704-355-3304",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "MHL-060-009",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300443D",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atrium Health Behavioral Health Partial Hospitalization",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHS Behavioral Health Partial Hospitalization",
            "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 Aug 21, 2019; 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.