CEDRIC DEAN CPP
NPI 1114647013
Prevention Professional in Charlotte, NC
- Individual
- Male
- Prevention Professional
About CEDRIC DEAN
This page provides the complete NPI Profile along with additional information for Cedric Dean, a provider established in Charlotte, North Carolina with a medical specialization in Prevention Professional. The healthcare provider is registered in the NPI registry with number 1114647013 assigned on August 2022. The practitioner's primary taxonomy code is 405300000X with license number 2021877201 (NC). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1114647013 Verify this NPI
- Provider Name
- CEDRIC DEAN CPP
- Other Name
- MR. CEDRIC DEAN CPP
- Other Name Type
- Professional Name (2)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2001 CATHERINE SIMMONS AVE CHARLOTTE, NC 28216
- Location Phone
- (704) 492-1533
- Mailing Address
- 5502 MCCHESNEY DR CHARLOTTE, NC 28269
- Mailing Phone
- (704) 492-5509
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-31-2022
- Last Update Date
- 06-24-2024
- Code Navigator
Location Map
Secondary Locations
- 1712 S Lafayette St
Shelby, NC 28152
(704) 492-5509
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prevention Professional
- Taxonomy Code
- 405300000X
- Type
- Other Service Providers
- License No.
- 2021877201
- License State
- NC
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171WH0202X | Other Service Providers | Contractor | 2021877201 (NC) |
| 2 | 251K00000X | Agencies | Public Health or Welfare | 2021877201 (NC) |
| 3 | 305R00000X | Managed Care Organizations | Preferred Provider Organization | 2021877201 (NC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1497473086 | OTHER (01) | NC | PRIVATE INSURANCE |
| 832424267 | MEDICAID (05) | NC | |
| 000005049292 | OTHER (01) | NC | DMV |
Reviews for CEDRIC DEAN CPP
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
CHARLOTTE, NC 28216
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114647013, enumerated as an "individual" on August 31, 2022.
The provider is located at 2001 CATHERINE SIMMONS AVE CHARLOTTE, NC 28216 and the phone number is (704) 492-1533.
Prevention Professional with taxonomy code 405300000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
