Organization Active NPI

Chandler Behavioral Health Resources

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Louisville, KY
National Provider Identifier
1902309214
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CHANDLER BEHAVIORAL HEALTH RESOURCES
Practice address
9400 Williamsburg PLZ
Louisville, KY 40222-5093
Phone
(704) 222-3034
NPI assigned
Mar 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Authorized official

Name
Jessika Gresham
Title
Owner
Phone
(704) 222-3034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

9400 Williamsburg PLZ
Louisville, KY 40222-5093

Mailing address

10051 Perimeter Station Dr Apt 302
Charlotte, NC 28216-3454
Phone (704) 222-3034

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1902309214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 PERIMETER STATION DR APT 302",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163454",
            "telephone_number": "704-222-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 WILLIAMSBURG PLZ",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225093",
            "telephone_number": "704-222-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER BEHAVIORAL HEALTH RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "GRESHAM",
        "authorized_official_first_name": "JESSIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-222-3034"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.