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NOEL DESANTOS IBANEZ MD NPI 1639407448


NPI Information

NPI: 1639407448
Provider Name: NOEL DESANTOS IBANEZ, MD
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

PECOS Registration: Yes

Address:
16740 DAVIDSON CONCORD RD
DAVIDSON, NC
ZIP 28036
Phone: (704) 444-2400
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Noel Desantos Ibanez, MD is a psychiatry psychiatry neurology in Davidson, NC with 18 years of experience. 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. Noel Desantos Ibanez, MD NPI is 1639407448. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

16740 DAVIDSON CONCORD RD
DAVIDSON, NC
ZIP 28036-746
Phone: (704) 444-2400

The NPI 1639407448 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/7/2009 and was last updated on 12/28/2023.


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
12084A0401XPsychiatry & NeurologyAddiction Medicine2010-01897NORTH CAROLINANo
22084F0202XPsychiatry & NeurologyForensic Psychiatry2010-01897NORTH CAROLINANo
32084P0005XPsychiatry & NeurologyNeurodevelopmental Disabilities2010-01897NORTH CAROLINANo
42084P0015XPsychiatry & NeurologyPsychosomatic Medicine2010-01897NORTH CAROLINANo
52084P0802XPsychiatry & NeurologyAddiction Psychiatry2010-01897NORTH CAROLINANo
62084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry2010-01897NORTH CAROLINANo
72084P0805XPsychiatry & NeurologyGeriatric Psychiatry2010-01897NORTH CAROLINANo
82084S0012XPsychiatry & NeurologySleep Medicine2010-01897NORTH CAROLINANo
92084P0800XPsychiatry & NeurologyPsychiatry2010-01897NORTH 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.