Active NPI
Cleveland Psychosocial Services, Inc
- Community/Behavioral Health Agency
- Shelby, NC
National Provider Identifier
1831234616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CLEVELAND PSYCHOSOCIAL SERVICES, INC
- Practice address
- 924 N Lafayette St
Shelby, NC 28150-3833 - Phone
- (704) 482-3370
- Fax
- (704) 482-3383
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
924 N Lafayette St
Shelby, NC 28150-3833
Mailing address
924 N Lafayette St
Shelby, NC 28150-3833
Phone (704) 482-3370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300641S | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Cleveland Psychosocial Services Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Shelby, NC
- NPI 1669493540
-
- Mental Illness Community Based Residential Treatment Facility
- Shelby, NC
- NPI 1760527444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831234616",
"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": "924 N LAFAYETTE ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503833",
"telephone_number": "704-482-3370",
"fax_number": "704-482-3383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEVELAND PSYCHOSOCIAL SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"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": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300641S",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
- Cleveland of County
- Cleveland Physical Therapy Assoc II
- Cleveland Physical Therapy Associates Inc
- Cleveland Psychosocial Service, Inc.
- Cleveland Psychosocial Services, Inc
- Cleveland Regional Medical Center
- Cleveland Regional Medical Center
- Cleveland Regional Medical Center Lifeline
- Cleveland Regional Medical Center-Care Solutions
- Cleveland Urologic Surgery, PA
Sources for this page
- 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.