Mecklenburg County Area Mental Health Authority

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL-060-722 Issued in NC

Legal business name

MECKLENBURG COUNTY AREA MENTAL HEALTH AUTHORITY

Practice address

534 Spratt St
Charlotte, NC 28206-2969

Phone

(704) 432-2958

Fax

(704) 432-4599

NPI assigned

Oct 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grayce Crockett

Title

Area Director

Phone

(704) 336-8638

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Adult Homeless Substance Abuse Trtmnt-offsite (women's) Other name

Tax ID family

Mecklenburg County32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

• Charlotte Cdsa

  • Public Health or Welfare Agency
  • Charlotte, NC
  • NPI 1215270715
  NPD tax ID
• Meckelnburg County

  dba Mecklenburg County Health Dept - Northwest Campus

  • Community/Retail Pharmacy
  • Charlotte, NC
  • NPI 1073893319
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Department - Clinical Services

  • State or Local Public Health Clinic/Center
  • Charlotte, NC
  • NPI 1043352594
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Department - CAP Services

  • Case Management Agency
  • Charlotte, NC
  • NPI 1063554517
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Dept-Adult Outpatient Mental Health Services

  • State or Local Public Health Clinic/Center
  • Charlotte, NC
  • NPI 1063694222
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Department - Women's Health Mammography

  • State or Local Public Health Clinic/Center
  • Charlotte, NC
  • NPI 1134261688
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Dept - Northeast Campus

  • Clinic Pharmacy
  • Charlotte, NC
  • NPI 1164143996
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Childrens Developmental Services Agency

  • Public Health or Welfare Agency
  • Charlotte, NC
  • NPI 1396814331
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Department - HIV Case Management

  • Case Management Agency
  • Charlotte, NC
  • NPI 1477694313
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Community Support Services

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1609946953
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Department - MCH Case Management

  • State or Local Public Health Clinic/Center
  • Charlotte, NC
  • NPI 1619091709
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County CSS

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1619164514
  NPD tax ID

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790860807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 BILLINGSLEY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111007",
            "telephone_number": "794-336-2023",
            "fax_number": "704-336-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 SPRATT ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062969",
            "telephone_number": "704-432-2958",
            "fax_number": "704-432-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLENBURG COUNTY AREA MENTAL HEALTH AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "GRAYCE",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "704-336-8638"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-060-722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301098P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301098G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Homeless Substance Abuse Trtmnt-offsite (women's)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mecklenburg County Area Mental Health Authority
• Mecklenburg County Area Mental Health Authority
• Mecklenburg County Area Mental Health Authority
• Mecklenburg County Area Mental Health Authority
• Mecklenburg County Area Mental Health Authority
• Mecklenburg County Area Mental Health Authority
• Mecklenburg County Area MH, DD and Sa Authority
• Mecklenburg County Area MH, DD and Sa Authority
• Mecklenburg County Provided Services Organization
• Mecklenburg Dermatology Assoc. PA

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health 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.