NEW HOPE SPECIALTY CLINIC NPI 1093081762

NPI Information

NPI: 1093081762
Provider Name: NEW HOPE SPECIALTY CLINIC
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

CLIA Number: 34D2083363

Address:
3101 LATROBE DR
CHARLOTTE, NC
ZIP 28211
Phone: (704) 817-8331
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NEW HOPE SPECIALTY CLINIC is a geriatric psychiatry psychiatry neurology in Charlotte, NC. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. NEW HOPE SPECIALTY CLINIC NPI is 1093081762. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3101 LATROBE DR
CHARLOTTE, NC
ZIP 28211-849
Phone: (704) 817-8331
Fax: (704) 817-8795

The provider's authorized official is Kurian Chiramel Abraham .
The authorized official title is Medical Director and has the following contact phone number (704) 817-8331.

The CLIA number assigned to this NPI record is 34D2083363 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2012 and was last updated on 10/5/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0300X	Internal Medicine	Geriatric Medicine	200100821	NORTH CAROLINA	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	200100821	NORTH CAROLINA	No
3	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	200100821	NORTH CAROLINA	Yes

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

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