Organization Active NPI

Professional Healthcare Assessments, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1730365941
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROFESSIONAL HEALTHCARE ASSESSMENTS, PLLC
Practice address
9700 Research Dr
Suite 142
Charlotte, NC 28262-8552
Phone
(704) 358-9489
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Mrs. Tracy Nickol Connor-Riddick, PA-C
Title
Ceo
Phone
(704) 724-4815

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

9700 Research Dr
Suite 142
Charlotte, NC 28262-8552

Mailing address

9700 Research Dr
Suite 142
Charlotte, NC 28262-8552
Phone (704) 358-9489

National Provider Directory

National Provider Directory

Locations

9700 Research Dr
Ste 142
Charlotte, NC 28262
Phone (704) 358-9489

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1730365941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 RESEARCH DR",
            "address_2": "SUITE 142",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628552",
            "telephone_number": "704-358-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 RESEARCH DR",
            "address_2": "SUITE 142",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628552",
            "telephone_number": "704-358-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTHCARE ASSESSMENTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "CONNOR-RIDDICK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "NICKOL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-724-4815",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 17, 2008; 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.