Organization Active NPI

Starcrest Pathways Group

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1700623295
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STARCREST PATHWAYS GROUP
Practice address
525 N Tryon St Ste 1600
Charlotte, NC 28202-0213
Phone
(612) 203-8175
NPI assigned
Jul 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Dajuan Savage
Title
Director
Phone
(612) 203-8175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

525 N Tryon St Ste 1600
Charlotte, NC 28202-0213

Mailing address

5105 Reagan Dr Ste 107
Charlotte, NC 28206-3554
Phone (612) 203-8175

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1700623295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 REAGAN DR STE 107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282063554",
            "telephone_number": "612-203-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N TRYON ST STE 1600",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282020213",
            "telephone_number": "612-203-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARCREST PATHWAYS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "DAJUAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-203-8175"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 11, 2024; 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.