BETHESDA CLINIC PA NPI 1023056603

NPI Information

  • NPI: 1023056603
  • Provider Name: BETHESDA CLINIC PA
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Address: 3000 BETHESDA PLACE
    STE 101 BETHESDA CLINIC PA
    WINSTON SALEM, NC
    ZIP 27103
  • Phone: (336) 765-9750

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NPI Details

BETHESDA CLINIC PA is a psychiatry psychiatry neurology in Winston Salem, NC. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. BETHESDA CLINIC PA NPI is 1023056603. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3000 BETHESDA PLACE
STE 101 BETHESDA CLINIC PA
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-9750
Fax: (336) 765-9710

The provider's authorized official is Nancy S Gaby .
The authorized official title is Md and has the following contact phone number (336) 765-9750.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 8/22/2020.

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
12084P0800XPsychiatry & NeurologyPsychiatry24653NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18934253MEDICAIDNORTH 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: 3/30/2025

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