Greater Metrolina Mental Health Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GREATER METROLINA MENTAL HEALTH SERVICES

Practice address

609 S New Hope Rd
Suite 103
Gastonia, NC 28054-4876

Phone

(704) 865-5613

NPI assigned

Jan 5, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Shannon Davis

Title

President

Phone

(704) 865-5613

Specialties & licenses 4

Addresses

Other identifiers 3

Tax ID family

Greater Metrolina Mental Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Greater Metrolina Mental Health Services, Inc.

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1730216656
  NPD tax ID

Locations

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1689978686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280530219",
            "telephone_number": "704-865-5613",
            "fax_number": "704-865-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S NEW HOPE RD",
            "address_2": "SUITE 103",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544876",
            "telephone_number": "704-865-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER METROLINA MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-865-5613",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410160",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8703161",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005583",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dino A Graziano, M.D.
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• Greater Developmental Achievements
• Greater Harvest Homes LLC
• Greater Metrolina Mental Health Services, Inc.
• James Greelish, MD
• Mark David Greemon, PA-C
• Emily Ross Green, MA
• Jessie Holbrook Green, MSW, LCSW

• Case Management Agency in Gastonia, NC
• Providers in Gastonia, 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 Jan 26, 2011; 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.