CMC-NORTHEAST PSYCHIATRIC SERVICES (NPI# 1750577904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750577904 |
| Entity Type | Organization |
| Organization Name | CMC-NORTHEAST PSYCHIATRIC SERVICES |
| Practice Address |
380 Copperfield Blvd Ne Concord NC 28025-2402 |
| Practice Telephone | 7042621822 |
| Practice Fax Number | 7042621850 |
| Mailing Telephone | 7042621822 |
| Mailing Fax Number | 7042621850 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |
| Authorized Official Name | DR. JONATHAN MCKENZIE (CHIEF OF PSYCHIATRY) |
| Authorized Official Telephone | 7042621800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
4329 | NC | Ambulatory Health Care Facilities |
| Street Address |
380 COPPERFIELD BLVD NE |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902889520 | Charles J Schmittdiel | Psychologist | 380 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2005-11-29 |
| 1417319229 | Jay Bhimani | Psychiatry & Neurology | 380 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2016-03-22 |
| 1861874133 | Sierra Witte | Psychiatry & Neurology | 380 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2015-06-23 |
| 1063849420 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 380 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2013-10-01 |
| 1871931857 | Ejike Ofoemezie | Psychiatry & Neurology | 380 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2013-06-12 |
| 1033495502 | Kathryn Jay-young | Social Worker | 380 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2011-10-28 |
| 1134416969 | Louis Viamonte | Psychiatry & Neurology | 380 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2011-06-30 |
| 1740504364 | Crystal Hagood | Psychiatry & Neurology | 380 Copperfield Blvd Ne, Suite A, Concord, NC 28025-2402 | 2010-03-25 |
| 1285969154 | Pravesh Basnet | Psychiatry & Neurology | 380 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2009-10-12 |
| 1134368624 | Traci Sweetser | Counselor | 380 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2009-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629600929 | John G. Giragos Jr. Md LLC | Clinic/Center | 132 Indian Pipe Ln, Concord, MA 01742-4766 | 2020-02-05 |
| 1427659986 | Balance Mental Health, P.l.l.c. | Clinic/Center | 3 Pleasant St Ste 5-6, Concord, NH 03301-4003 | 2020-11-02 |
| 1821586033 | Cognicounseling | Clinic/Center | 747 Main St, Concord, MA 01742-3302 | 2018-04-24 |
| 1235545559 | Contra Costa County | Clinic/Center | 1430 Willow Pass Rd, Suite 100 and 105, Concord, CA 94520-7928 | 2014-07-08 |
| 1023188489 | Contra Costa County | Clinic/Center | 1420 Willow Pass Rd, Suites 110, 140, and 200, Concord, CA 94520-5223 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537436 | Amazing Love | Clinic/Center | 1201 W Crowell St, Monroe, NC 28112-4535 | 2020-10-27 |
| 1629677547 | Julia Kaplinska, Phd, Pllc | Clinic/Center | 4908 Vistawood Way, Durham, NC 27713-8065 | 2020-10-21 |
| 1013514587 | Lisa Johnson Reid | Clinic/Center | 3491 Evans St Ste B, Greenville, NC 27834-4534 | 2020-10-07 |
| 1609473230 | Chadwick Counseling, Pllc | Clinic/Center | 105 Chelsea Cir, Beaufort, NC 28516-9001 | 2020-10-06 |
| 1275146946 | Lakeisha Ward | Clinic/Center | 2221 W Raleigh Blvd Ste 117, Rocky Mount, NC 27803-2745 | 2020-08-24 |
| 1417570995 | Sb Psychiatry Pllc | Clinic/Center | 55 Vilcom Center Dr Ste 230, Chapel Hill, NC 27514-1690 | 2020-05-19 |
| 1467082396 | Premier Service of Carolina, Inc | Clinic/Center | 2020 Remount Rd Ste 105, Gastonia, NC 28054-7478 | 2020-01-20 |
| 1417598962 | Limitless Living Counseling & Consulting, Pllc | Clinic/Center | 806 Fairmont St, Greensboro, NC 27401-1723 | 2019-10-07 |
| 1598316770 | Renaissance Healthcare Group Raleigh, LLC | Clinic/Center | 7300 Carmel Executive Park Dr Ste 100, Charlotte, NC 28226-1307 | 2019-09-27 |
| 1255981627 | Each One Teach Two | Clinic/Center | 401 Hawthorne Ln Ste 110-224, Charlotte, NC 28204-2484 | 2019-09-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.