Cleveland Psychosocial Service, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CLEVELAND PSYCHOSOCIAL SERVICE, INC.

Practice address

809 N Lafayette St
Shelby, NC 28150-3978

Phone

(704) 487-4422

Fax

(704) 487-4304

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tommy Gunn

Title

Executive Director

Phone

(704) 482-3370

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Cleveland Psychosocial Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Cleveland Psychosocial Services, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Shelby, NC
  • NPI 1760527444
  NPD tax ID
• Cleveland Psychosocial Services, Inc

  • Community/Behavioral Health Agency
  • Shelby, NC
  • NPI 1831234616
  NPD tax ID

Locations

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669493540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503833",
            "telephone_number": "704-482-3370",
            "fax_number": "704-482-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503978",
            "telephone_number": "704-487-4422",
            "fax_number": "704-487-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND PSYCHOSOCIAL SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUNN",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-482-3370",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300640B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cleveland Medical Associates, PA Dba Piedmont Family Care
• Cleveland Neurologic Clinic, PA
• Cleveland of County
• Cleveland Physical Therapy Assoc II
• Cleveland Physical Therapy Associates Inc
• Cleveland Psychosocial Services, Inc
• Cleveland Psychosocial Services, Inc
• Cleveland Regional Medical Center
• Cleveland Regional Medical Center
• Cleveland Regional Medical Center Lifeline

• Case Management Agency in Shelby, NC
• Providers in Shelby, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.