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PRIMARY CARE SOLUTIONS INC NPI 1053535369


NPI Information

NPI: 1053535369
Provider Name: PRIMARY CARE SOLUTIONS INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
5601 EXECUTIVE CENTER DR STE 200
CHARLOTTE, NC
ZIP 28212
Phone: (704) 537-1022
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PRIMARY CARE SOLUTIONS INC is a community behavioral health in Charlotte, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PRIMARY CARE SOLUTIONS INC NPI is 1053535369. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5601 EXECUTIVE CENTER DR STE 200
CHARLOTTE, NC
ZIP 28212-841
Phone: (704) 537-1022
Fax: (704) 569-0822

The provider's authorized official is William Andre Bullock .
The authorized official title is President and has the following contact phone number (704) 537-1022.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 6/8/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalNo
41041C0700XSocial WorkerClinicalNo
5251B00000XCase Management8301186NORTH CAROLINANo
6322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNORTH CAROLINANo
7363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
8251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18301186GMEDICAIDNORTH CAROLINA
28301186BMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.