NORTH CAROLINA NEUROPSYCHIATRY NPI 1811204217

NPI Information

NPI: 1811204217
Provider Name: NORTH CAROLINA NEUROPSYCHIATRY
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
6911 SHANNON WILLOW RD
SUITE 100
CHARLOTTE, NC
ZIP 28226
Phone: (704) 529-4101
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NORTH CAROLINA NEUROPSYCHIATRY is a child and adolescent psychiatry psychiatry neurology in Charlotte, NC. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. NORTH CAROLINA NEUROPSYCHIATRY NPI is 1811204217. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6911 SHANNON WILLOW RD
SUITE 100
CHARLOTTE, NC
ZIP 28226-346
Phone: (704) 529-4101

The provider's authorized official is Jeni M Groves .
The authorized official title is Administrator and has the following contact phone number (919) 785-5055.

The enumeration date for this NPI number is 9/7/2010 and was last updated on 9/7/2010.

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	Primary
1	103G00000X	Clinical Neuropsychologist		No
2	103T00000X	Psychologist		No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	230737	OTHER	NORTH CAROLINA	MEDICARE PTAN

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

NPI Synchronization or Removal

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