CEDRIC DEAN CPP
NPI 1114647013
Prevention Professional in Charlotte, NC

Q: What is Cedric Dean's NPI number?

The NPI number for Cedric Dean is 1114647013. It was assigned to this individual provider in the NPPES registry on August 31, 2022. The provider is also known as Mr. Cedric Dean Cpp.

Q: What is Cedric Dean's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

Q: When was this NPI record last updated?

The NPPES record for Cedric Dean was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 31, 2022

2001 CATHERINE SIMMONS AVE, CHARLOTTE, NC 28216(704) 492-1533 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2024, Dec 5, 2022, Aug 31, 2022 (3 updates tracked since 2022).

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About Cedric Dean Cpp NPPES

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

CEDRIC DEAN CPP (NPI 1114647013) is an individual prevention professional provider in Charlotte, North Carolina, licensed in North Carolina (2021877201) and active in the NPI registry since August 2022. He maintains a secondary practice location in Shelby.

NPPES Registry Identity

NPI1114647013

Entity TypeIndividualMale

Primary Taxonomy405300000X

Provider Legal NameCEDRIC DEANCredential: CPP

Location Address2001 CATHERINE SIMMONS AVECharlotte, NC 28216-4677

Mailing Address5502 Mcchesney DrCharlotte, NC 28269-7188 · (704) 492-5509

Phone(704) 492-1533

Sole ProprietorYes

Enumeration DateAugust 31, 2022

Last NPPES UpdateJune 24, 20243 updates tracked since enumeration

NPPES CertifiedJune 24, 2024

✔ NPI 1114647013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPrevention ProfessionalOther Service Providers

Taxonomy Code405300000X

License✔ Licensed in NC · 2021877201

Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Also ListedContractor · Home ModificationsTaxonomy 171WH0202X · License 2021877201 (NC)

Also ListedPublic Health or WelfareTaxonomy 251K00000X · License 2021877201 (NC)

Also ListedPreferred Provider OrganizationTaxonomy 305R00000X · License 2021877201 (NC)

2001 CATHERINE SIMMONS AVE, Charlotte, NC 28216

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Other Names 1

Professional Name (2)Mr. Cedric Dean Cpp

Secondary Practice Location 1

Location 11712 S Lafayette StShelby, NC 28152-7151 · Phone (704) 492-5509

Other Identifiers 3

Other1497473086NC · Private Insurance

Medicaid832424267NC

Other000005049292NC · Dmv

Other Providers at the Same Location NPPES 5

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

TIAWANA DELING BROWN

Peer Specialist