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CAROLINA CHILD PSYCHIATRIC SERVICES PA NPI 1598149114


NPI Information

NPI: 1598149114
Provider Name: CAROLINA CHILD PSYCHIATRIC SERVICES, PA

Doing Business As: NEW GARDEN PSYCHIATRY

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 34D2218844

Address:
2016 NEW GARDEN RD STE C
GREENSBORO, NC
ZIP 27410
Phone: (336) 541-8111
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CAROLINA CHILD PSYCHIATRIC SERVICES, PA is an adult mental health clinic center in Greensboro, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CAROLINA CHILD PSYCHIATRIC SERVICES, PA NPI is 1598149114. The provider is registered as an organization entity type.
The provider Is Doing Business As New Garden Psychiatry.

The provider's business location address is:

2016 NEW GARDEN RD STE C
GREENSBORO, NC
ZIP 27410-502
Phone: (336) 541-8111
Fax: (855) 427-6593

The provider's authorized official is Janardhana Jonnalagadda .
The authorized official title is Owner and has the following contact phone number (336) 541-8111.

The CLIA number assigned to this NPI record is 34D2218844 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2015 and was last updated on 9/10/2015.


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
1261QM0850XClinic/CenterAdult Mental Health2005-01663NORTH CAROLINAYes

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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