Active NPI
St. Michael's Therapeutic Services, Inc
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Spencer, NC
National Provider Identifier
1992833271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- MHL-080-120
- Legal business name
- ST. MICHAEL'S THERAPEUTIC SERVICES, INC
- Practice address
- 708 S Rowan Ave
Spencer, NC 28159-2146 - Phone
- (704) 637-3375
- Fax
- (704) 637-3375
- NPI assigned
- Mar 1, 2007
- Last updated
- Aug 22, 2020
- 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
- Ms. Tasheema Yvette Shore, BS.QP
- Title
- Owner
- Phone
- (704) 701-2582
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | MHL-080-120 | NC | Primary |
Addresses
Primary practice location
708 S Rowan Ave
Spencer, NC 28159-2146
Mailing address
708 S Rowan Ave
Spencer, NC 28159-2146
Phone (704) 637-3375
National Provider Directory
National Provider Directory- Tax ID family
- St Michael's Therapeutic Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Concord, NC
- NPI 1073702429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992833271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 S ROWAN AVE",
"city": "SPENCER",
"state": "NC",
"postal_code": "281592146",
"telephone_number": "704-637-3375",
"fax_number": "704-637-3375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 S ROWAN AVE",
"city": "SPENCER",
"state": "NC",
"postal_code": "281592146",
"telephone_number": "704-637-3375",
"fax_number": "704-637-3375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. MICHAEL'S THERAPEUTIC SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHORE",
"authorized_official_first_name": "TASHEEMA",
"authorized_official_middle_name": "YVETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-701-2582",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BS.QP"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "NC",
"license": "MHL-080-120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spencer, NC
- Rowan Diagnostic Clinic (Spencer Family Medicine)
- Samuel Dastrup DDS PLLC
- Holly Anne Smith, M.S., R.D., L.D.
- Sonshine Community Outreach Services
- Diane Spicer, OTR
- Melinda Marie Steelman, COTA
- The Mental Health Association in North Carolina, Inc. (Rowan Apts)
- Total Renal Care of North Carolina LLC (Spencer Dialysis)
- Jo Ann Townsend
- TRC of Salisbury, Inc. (Magnolia Estates Skilled Care Facility)
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.