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NOVANT MEDICAL GROUP INC NPI 1588610471


NPI Information

NPI: 1588610471
Provider Name: NOVANT MEDICAL GROUP, INC

Doing Business As: NOVANT HEALTH PSYCHIATRIC ASSOCIATES

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1900 RANDOLPH ROAD
SUITE 800
CHARLOTTE, NC
ZIP 28207
Phone: (704) 384-1246
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NOVANT MEDICAL GROUP, INC is a psychiatry psychiatry neurology in Charlotte, 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. NOVANT MEDICAL GROUP, INC NPI is 1588610471. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Psychiatric Associates.

The provider's business location address is:

1900 RANDOLPH ROAD
SUITE 800
CHARLOTTE, NC
ZIP 28207-110
Phone: (704) 384-1246
Fax: (704) 384-6072

The provider's authorized official is Leea Jeanine Walton .
The authorized official title is Edi Manager and has the following contact phone number (704) 316-6081.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 7/11/2023.


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
1101YP2500XCounselorProfessionalNo
21041C0700XSocial WorkerClinicalNo
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
42084P0800XPsychiatry & NeurologyPsychiatryYes

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
16006145 (LCSWS ONLY)MEDICAIDNORTH CAROLINA
289015Y5MEDICAIDNORTH CAROLINA
3CC5118OTHERNORTH CAROLINARAILROAD MEDICARE
4NPB139MEDICAIDSOUTH CAROLINA
5015Y5OTHERNORTH CAROLINABCBS NC

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

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