NPIMap

Organization Active NPI

Center for Holistic Psychotherapy

  • Psychologist
  • Charlotte, NC
National Provider Identifier
1851431795
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CENTER FOR HOLISTIC PSYCHOTHERAPY
Practice address
1801 E 5TH Street
Suite 204
Charlotte, NC 28204
Phone
(704) 375-3545
Fax
(704) 375-3632
NPI assigned
Feb 8, 2007
Last updated
Apr 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Mary G Bobis, LCSWNPI 1477619484
Title
Co Director
Phone
(704) 332-8394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

1801 E 5TH Street
Suite 204
Charlotte, NC 28204

Mailing address

1801 E 5TH Street
Suite 204
Charlotte, NC 28204
Phone (704) 375-3545

Other identifiers 1

IdentifierTypeStateIssuer
017G8OtherBCBS

National Provider Directory

National Provider Directory

Locations

1801 E 5th St
Ste 204
Charlotte, NC 28204
Phone (704) 375-3545

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1851431795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E 5TH STREET",
            "address_2": "SUITE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-375-3545",
            "fax_number": "704-375-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E 5TH STREET",
            "address_2": "SUITE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-375-3545",
            "fax_number": "704-375-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR HOLISTIC PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "BOBIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CO DIRECTOR",
        "authorized_official_telephone_number": "704-332-8394",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "017G8",
            "state": null
        }
    ],
    "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 Apr 12, 2016; 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.