Active NPI
Beatties Ford Road Vocational Trade Center
- Family Psychologist
- Charlotte, NC
National Provider Identifier
1972166635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- Legal business name
- BEATTIES FORD ROAD VOCATIONAL TRADE CENTER
- Practice address
- 1406 Beatties Ford Rd
Charlotte, NC 28216-4550 - Phone
- (980) 349-4067
- Fax
- (980) 209-9717
- NPI assigned
- Apr 18, 2019
- Organization subpart
- Yes
- Parent organization
- BEATTIES FORD ROAD VOCATIONAL TRADE CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Frances Rebecca Hall
- Title
- Executive Director
- Phone
- (980) 349-4067
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Medical Specialty Clinic/Center | 261QM2500X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | |||
| Pharmacy | 333600000X |
Addresses
Primary practice location
1406 Beatties Ford Rd
Charlotte, NC 28216-4550
Mailing address
1406 Beatties Ford Rd
Charlotte, NC 28216-4550
Phone (980) 349-4067
Other practice location 1
110 Stockton St
Statesville, NC 28677-5253
Phone (980) 349-4067
Other names 1
- Beatties Ford Road Family Counseling Center
National Provider Directory
National Provider Directory- Tax ID family
- Beatties Ford Road Vocational Trade Center
- Part of
- Beatties Ford Road Vocational Trade Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Mooresville, NC
- NPI 1558984476
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Addiction (Substance Use Disorder) Counselor
- Mooresville, NC
- NPI 1558984476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580688000000",
"number": "1972166635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 BEATTIES FORD RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282164550",
"telephone_number": "980-349-4067",
"fax_number": "980-209-9717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 BEATTIES FORD RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282164550",
"telephone_number": "980-349-4067",
"fax_number": "980-209-9717"
}
],
"practiceLocations": [
{
"address_1": "110 Stockton St",
"address_purpose": "LOCATION",
"city": "Statesville",
"state": "NC",
"postal_code": "286775253",
"country_code": "US",
"telephone_number": "980-349-4067",
"fax_number": "980-209-9717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BEATTIES FORD ROAD VOCATIONAL TRADE CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BEATTIES FORD ROAD VOCATIONAL TRADE CENTER",
"enumeration_date": "2019-04-18",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "FRANCES",
"authorized_official_middle_name": "REBECCA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "980-349-4067",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Beatties Ford Road Family Counseling Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Beatties Ford Road Family Counseling Center",
"code": "3",
"type": "Doing Business As"
}
]
}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 Feb 3, 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.