Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Autism Services of Mecklenburg County, Inc.

Intellectual Disabilities Intermediate Care Facility in Charlotte, NC · enumerated 2012 · authorized official Jack Phillips, Executive Director/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043561764

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Registry record

Entity type Organization (Type 2)

Legal business name Autism Services of Mecklenburg County, Inc.

Practice address 1123 Ravendale Dr, Charlotte, NC, 28216

Phone (704) 399-3538

Enumeration date Sep 20, 2012

Last updated in NPPES Sep 20, 2012

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities · License MHL-060-231 (NC) Primary

Authorized official

Name Jack Phillips

Title Executive Director/Ceo

Phone (704) 392-9220

Other identifiers

Identifier	Type	State	Issuer
340609A	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Autism Services of Mecklenburg County, Inc. located?

The practice location on file with NPPES is in Charlotte, NC.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-09-20. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-09-20.