Active NPI
Eleanor Health Professional NC, PLLC
- Psychiatry Physician
- Matthews, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- ELEANOR HEALTH PROFESSIONAL NC, PLLC
- Practice address
- 3013 Senna Dr Ste a
Matthews, NC 28105-6727 - Phone
- (866) 588-0977
- NPI assigned
- Mar 29, 2021
- Last updated
- Mar 29, 2021
- Organization subpart
- Yes
- Parent organization
- ELEANOR HEALTH PROFESSIONAL NC, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nzinga Ajabu Harrison
- Title
- Owner & Chief Medical Officer
- Phone
- (617) 419-0858
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
3013 Senna Dr Ste a
Matthews, NC 28105-6727
Mailing address
PO Box 2810
Weaverville, NC 28787-2810
Phone (828) 989-8686
National Provider Directory
National Provider Directory- Part of
- Eleanor Health Professional
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Psychiatry Physician
- Hickory, NC
- NPI 1891349155
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Mooresville, NC
- NPI 1518099910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616976000000",
"number": "1659958163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2810",
"city": "WEAVERVILLE",
"state": "NC",
"postal_code": "287872810",
"telephone_number": "828-989-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3013 SENNA DR STE A",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281056727",
"telephone_number": "866-588-0977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEANOR HEALTH PROFESSIONAL NC, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ELEANOR HEALTH PROFESSIONAL NC, PLLC",
"enumeration_date": "2021-03-29",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "NZINGA",
"authorized_official_middle_name": "AJABU",
"authorized_official_title_or_position": "OWNER & CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "617-419-0858"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.