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CAROLINA PSYCHIATRY P.C. NPI 1114116944


NPI Information

NPI: 1114116944
Provider Name: CAROLINA PSYCHIATRY, P.C.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 34D2105534

Address:
548 SANDHURST DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 484-3400
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CAROLINA PSYCHIATRY, P.C. is an adult mental health clinic center in Fayetteville, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CAROLINA PSYCHIATRY, P.C. NPI is 1114116944. The provider is registered as an organization entity type.

The provider's business location address is:

548 SANDHURST DR
FAYETTEVILLE, NC
ZIP 28304-426
Phone: (910) 484-3400
Fax: (910) 484-3404

The provider's authorized official is Shabbir Ahmed Chowdhury .
The authorized official title is Owner and has the following contact phone number (910) 484-3400.

The CLIA number assigned to this NPI record is 34D2105534 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 7/30/2020.


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
1261QM0850XClinic/CenterAdult Mental Health200401185NORTH CAROLINAYes

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: 4/28/2024

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.