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SUPERIOR HEALTHCARE SERVICES INC. NPI 1164721072


NPI Information

NPI: 1164721072
Provider Name: SUPERIOR HEALTHCARE SERVICES, INC.
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
6636 E WT HARRIS BLVD
SUITE D - E
CHARLOTTE, NC
ZIP 28215
Phone: (704) 563-6262
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SUPERIOR HEALTHCARE SERVICES, INC. is a prescribing (medical) psychologist in Charlotte, NC. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. SUPERIOR HEALTHCARE SERVICES, INC. NPI is 1164721072. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6636 E WT HARRIS BLVD
SUITE D - E
CHARLOTTE, NC
ZIP 28215-133
Phone: (704) 563-6262
Fax: (704) 563-6210

The provider's authorized official is Jason Christopher Jones .
The authorized official title is Ceo and has the following contact phone number (704) 563-6262.

The enumeration date for this NPI number is 3/17/2011 and was last updated on 3/17/2011.


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
1103TP0016XPsychologistPrescribing (Medical)NORTH CAROLINAYes

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
15915226MEDICAIDNORTH 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

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