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CAROLINAS MEDICAL CENTER NPI 1720334204


NPI Information

NPI: 1720334204
Provider Name: CAROLINAS MEDICAL CENTER

Doing Business As: CAROLINAS PSYCHIATRY AND BEHAVIORAL WELLNESS

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
7825 BALLANTYNE COMMONS PKWY
SUITE A
CHARLOTTE, NC
ZIP 28277
Phone: (704) 446-8031
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CAROLINAS MEDICAL CENTER is a clinical psychologist in Charlotte, NC. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. CAROLINAS MEDICAL CENTER NPI is 1720334204. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Carolinas Psychiatry And Behavioral Wellness.

The provider's business location address is:

7825 BALLANTYNE COMMONS PKWY
SUITE A
CHARLOTTE, NC
ZIP 28277-174
Phone: (704) 446-8031
Fax: (704) 446-8038

The provider's authorized official is Thomas Ford Laymon .
The authorized official title is Svp and has the following contact phone number (704) 631-0002.

The enumeration date for this NPI number is 8/2/2012 and was last updated on 8/11/2016.


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
1101YM0800XCounselorMental HealthNo
2103TC0700XPsychologistClinicalYes

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
12351728HMEDICARE PINNORTH CAROLINA
26008865MEDICAIDNORTH 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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