ALEXANDER YOUTH NETWORK
NPI 1083856595
Clinic/Center - Adolescent and Children Mental Health in Charlotte, NC

Q: What is Alexander Youth Network's NPI number?

The NPI number for Alexander Youth Network is 1083856595. It was assigned to this organization in the NPPES registry on March 30, 2009.

Q: What is Alexander Youth Network's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since March 30, 2009CLIA 34D2174588 · Waiver

6220 THERMAL RD, CHARLOTTE, NC 28211(704) 366-8712(704) 362-8464 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Alexander Youth Network NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER YOUTH NETWORK (NPI 1083856595) is a healthcare organization registered as an adolescent and children mental health in Charlotte, North Carolina and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through July 13, 2027 and lists Brennon D Graham, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083856595

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameALEXANDER YOUTH NETWORK

Location Address6220 THERMAL RDCharlotte, NC 28211-5630

Mailing Address6220 Thermal RdCharlotte, NC 28211-5630 · (704) 366-8712 · Fax (704) 362-8464

Phone(704) 366-8712

Fax(704) 362-8464

Organization SubpartNo

Authorized OfficialBrennon D GrahamCeo · (704) 366-8712

Enumeration DateMarch 30, 2009

Last NPPES UpdateAugust 28, 2025

NPPES CertifiedAugust 28, 2025

✔ NPI 1083856595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

6220 THERMAL RD, Charlotte, NC 28211

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Other Identifiers 1

Medicaid890101ANC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2174588

Alexander Youth Network · Charlotte, NC

Active · expires Jul 13, 2027

CLIA Number34D2174588

Laboratory TypeBehavioral Health

Certificate Effective DateJuly 14, 2025

Certificate Expiration DateJuly 13, 2027

Laboratory DirectorBuddy Plummer

Laboratory Phone(704) 362-8480

Laboratory LocationAlexander Youth Network6220 Thermal Road, Charlotte, NC 28211

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER YOUTH NETWORK

Psychiatric Residential Treatment Facility