BEHAVIORAL HEALTH CENTER CMC RANDOLPH – NPI #1093995839
Clinic/Center

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.

BEHAVIORAL HEALTH CENTER CMC RANDOLPH is an AHC clinic located in CHARLOTTE, NC. NPPES has assigned the NPI number 1093995839 to BEHAVIORAL HEALTH CENTER CMC RANDOLPH on November 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BEHAVIORAL HEALTH CENTER CMC RANDOLPH is also known by the name C&A DIAGNOSTIC ASSESSMENT. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEHAVIORAL HEALTH CENTER CMC RANDOLPH below.

NPI Profile for
BEHAVIORAL HEALTH CENTER CMC RANDOLPH

NPI Number
1093995839
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BEHAVIORAL HEALTH CENTER CMC RANDOLPH
Other Name: C&A DIAGNOSTIC ASSESSMENT
Primary location
330 BILLINGSLEY ROAD
BEHAVIORAL HEALTH CENTER CMC RANDOLPH
CHARLOTTE, NC 28211-5055
Phone: (704) 444-2444 Fax: (704) 444-2464
Mailing address
501 BILLINGSLEY ROAD
BEHAVIORAL HEALTH CENTER CMC RANDOLPH
CHARLOTTE, NC 28211-1009
Phone: (704) 358-2710 Fax: (704) 358-2938
Organization Subpart
No
Authorized Official
THOMAS GETTELMAN
ASSISTANT VICE PRESIDENT
Phone: (704) 444-2406
Updated
Identifiers

Identifiers for BEHAVIORAL HEALTH CENTER CMC RANDOLPH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC8300445G
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)
NC H0071

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.