CENTER FOR EMOTIONAL HEALTH
Complete NPI Record 1174922348
Psychiatry & Neurology - Addiction Psychiatry in Gastonia, NC
Active since August 14, 2014
Complete NPI Dataset
This page contains the complete raw NPPES record for Center For Emotional Health (NPI 1174922348), a psychiatry & neurology organization in Gastonia, NC. All 37 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1174922348 Field 1/37
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/37
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/37
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: CENTER FOR EMOTIONAL HEALTH Field 4/37
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: 280 EXECUTIVE PARK DR STE 100 Field 5/37
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: CONCORD Field 6/37
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: NC Field 7/37
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 280251838 Field 8/37
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/37
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 7042374240 Field 10/37
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 7048413889 Field 11/37
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 640 SUMMIT CROSS PLACE Field 12/37
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Second Line Business Practice Location Address: SUITE 203 Field 13/37
- The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: GASTONIA Field 14/37
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: NC Field 15/37
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 28054 Field 16/37
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 17/37
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 7042374240 Field 18/37
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: STOUDMIRE Field 21/37
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: JONATHAN Field 22/37
- The first name of the authorized official.
- Authorized Official Middle Name: K Field 23/37
- The middle name of the authorized official.
- Authorized Official Title or Position: PRESIDENT/OWNER Field 24/37
- The title or position of the authorized official.
- Authorized Official Telephone Number: 7042374240 Field 25/37
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 2084P0802X Field 26/37
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: 200500827 Field 27/37
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: NC Field 28/37
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 29/37
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: 5900927 Field 30/37
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 05 Field 31/37
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: NC Field 32/37
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Is Organization Subpart: N Field 33/37
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Authorized Official Name Prefix Text: DR. Field 34/37
- The prefix used in the name of the authorized official associated with the provider's NPI record. Examples include Mr., Ms., Mrs., Dr., or other common professional or personal prefixes.
- Authorized Official Credential Text: M.D. Field 35/37
- The professional credential(s) of the authorized official listed on the provider's NPI record. Examples include MD (Doctor of Medicine), DO (Doctor of Osteopathy), RN (Registered Nurse), DDS (Doctor of Dental Surgery), PhD, or other recognized designations that reflect the official's qualifications.
- Healthcare Provider Taxonomy Group 1: 193400000X SINGLE SPECIALTY GROUP Field 36/37
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Secondary Practice Locations 36
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1240 SE Maynard Rd Ste 104
Location 1/36Cary, NC 27511-6946 · Phone (704) 237-4240
170 Medical Park Rd Ste 208
Location 2/36Mooresville, NC 28117-8541 · Phone (704) 237-4240
1075 Hendersonville Rd Ste 100
Location 3/36Asheville, NC 28803-7802 · Phone (704) 237-4240
8145 Ardrey Kell Rd Ste 203
Location 4/36Charlotte, NC 28277-5721 · Phone (704) 237-4240
900 Martin Luther King Jr Blvd Ste B
Location 5/36Chapel Hill, NC 27514-2601 · Phone (704) 237-4240
717 Greenway Rd Ste C
Location 6/36Boone, NC 28607-4991 · Phone (704) 237-4240
330 Billingsley Rd Ste 203
Location 7/36Charlotte, NC 28211-5020 · Phone (704) 237-4240
5315 Highgate Dr Ste 102
Location 8/36Durham, NC 27713-6623 · Phone (704) 237-4240
5315 Highgate Dr Ste 107
Location 9/36Durham, NC 27713-6623 · Phone (704) 237-4240
5509B W Friendly Ave
Location 10/36Greensboro, NC 27410-4270 · Phone (704) 237-4240
102 W 1st Ave Ste C
Location 11/36Lexington, NC 27292-3695 · Phone (704) 237-4240
9723 Northeast Pkwy Ste 500
Location 12/36Matthews, NC 28105-9718 · Phone (704) 237-4240
8362 Six Forks Rd Ste 104
Location 13/36Raleigh, NC 27615-5086 · Phone (704) 237-4240
135 Mocksville Ave Ste 1
Location 14/36Salisbury, NC 28144-3344 · Phone (704) 237-4240
2700 Coltsgate Rd Ste 106
Location 15/36Charlotte, NC 28211-3573 · Phone (704) 237-4240
416 Shipyard Boulevard
Location 16/36Wilmington, NC 28403 · Phone (704) 237-4240
3800 Arco Corporate Dr Ste 320
Location 17/36Charlotte, NC 28273-3411 · Phone (704) 237-4240
11020 S Tryon St Ste 408
Location 18/36Charlotte, NC 28273-6662 · Phone (704) 237-4240
7940 Williams Pond Ln Ste 250
Location 19/36Charlotte, NC 28277-8412 · Phone (704) 237-4240
416 McCullough Dr
Location 20/36Charlotte, NC 28262-4385 · Phone (704) 237-4240
280 Executive Park Dr Ste 100
Location 21/36Concord, NC 28025 · Phone (704) 237-4240
1032 X Ray Dr
Location 22/36Gastonia, NC 28054-7488 · Phone (704) 237-4240
4315 Physicians Blvd Ste 202
Location 23/36Harrisburg, NC 28075-7432 · Phone (704) 237-4240
1073 13th St SE
Location 24/36Hickory, NC 28602-4165 · Phone (704) 237-4240
2810 16th St NE
Location 25/36Hickory, NC 28601-9600 · Phone (704) 237-4240
16325 Northcross Dr Ste F
Location 26/36Huntersville, NC 28078-5044 · Phone (704) 237-4240
10801 Monroe Rd
Location 27/36Matthews, NC 28105-8335 · Phone (704) 237-4240
1254 Mann Dr
Location 28/36Matthews, NC 28105-5545 · Phone (704) 841-3886 · Fax (704) 841-3889
1315 E Sunset Dr Ste 201
Location 29/36Monroe, NC 28112-4333 · Phone (704) 237-4240
1643 Campus Park Dr Ste C
Location 30/36Monroe, NC 28112-5588 · Phone (704) 237-4240
146 Medical Park Rd Ste 106
Location 31/36Mooresville, NC 28117-8529 · Phone (704) 237-4240
1450 FERN CREEK
Location 32/36STATESVILLE, NC 28625-2826 · Phone (704) 237-4240
529 W Innes St
Location 33/36Salisbury, NC 28144-4278 · Phone (704) 237-4240
3640 Westgate Center Cir Ste A
Location 34/36Winston Salem, NC 27103-3056 · Phone (704) 237-4240
755 Highland Oaks Dr Ste 105
Location 35/36Winston Salem, NC 27103-7106 · Phone (704) 237-4240
1420 US 52 N Ste B
Location 36/36Albemarle, NC 28001-2622 · Phone (704) 237-4240
Other Provider Identifiers 1
Legacy and payer-issued identifiers reported to the NPPES registry for this provider.
5900927 Medicaid
Identifier 1/1State: NC
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
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