NPIMap

Organization Active NPI

Alexander Youth Network

Doing business as Walter Bickett Day Treatment

  • Community/Behavioral Health Agency
  • Monroe, NC
National Provider Identifier
1831500453
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALEXANDER YOUTH NETWORK
Doing business as
Walter Bickett Day Treatment
Practice address
830 ML King Blvd. S.
Monroe, NC 28112
Phone
(704) 668-7123
NPI assigned
May 16, 2014
Last updated
Sep 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Brennon Graham
Title
Ceo
Phone
(704) 366-8712

Specialties & licenses 1

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

Addresses

Primary practice location

830 ML King Blvd. S.
Monroe, NC 28112

Mailing address

6220 Thermal Rd
Charlotte, NC 28211-5630
Phone (704) 366-8712

Other names 2

  • Walter Bickett Day Treatment Doing business as
  • Porter Ridge Day Treatment Other name

National Provider Directory

National Provider Directory
Tax ID family
Alexander Youth Network41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Locations

2843 Ridge Rd
Indian Trail, NC 28079

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1831500453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 THERMAL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115630",
            "telephone_number": "704-366-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 ML KING BLVD. S.",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "28112",
            "telephone_number": "704-668-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER YOUTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BRENNON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-366-8712"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walter Bickett Day Treatment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Porter Ridge Day Treatment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.