NORTH CAROLINA NEUROPSYCHIATRY (NPI# 1811204217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811204217 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA NEUROPSYCHIATRY |
| Practice Address |
6911 Shannon Willow Rd Suite 100 Charlotte NC 28226-1346 |
| Practice Telephone | 7045294101 |
| Mailing Telephone | 7045294101 |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |
| Authorized Official Name | JENI M GROVES (ADMINISTRATOR) |
| Authorized Official Telephone | 9197855055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE PTAN | 230737 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659688059 | North Carolina Neuropsychiatry | Clinical Neuropsychologist | 13251 Falls of Neuse Rd Ste 121, Raleigh, NC 27614 | 2010-09-07 |
| Street Address |
6911 SHANNON WILLOW RD SUITE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-1346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972686251 | Angela Ellen Mackert | Speech-Language Pathologist | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2006-10-23 |
| 1629575089 | Jennifer O'brien Adorno | Counselor | 6911 Shannon Willow Rd, Charlotte, NC 28226-1346 | 2018-04-11 |
| 1619413820 | Carolina Physical Medicine PC | Psychiatry & Neurology | 6911 Shannon Willow Rd, Suite 500, Charlotte, NC 28226-1346 | 2017-01-11 |
| 1003365362 | Kidspeak Management, LLC | Clinic/Center | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2016-09-28 |
| 1891147237 | Providence Physical Medicine PC | Physical Medicine & Rehabilitation | 6911 Shannon Willow Rd, Ste 500, Charlotte, NC 28226-1346 | 2016-07-11 |
| 1609153345 | Providence Health Center | Chiropractor | 6911 Shannon Willow Rd, Suite 500, Charlotte, NC 28226-1351 | 2011-11-09 |
| 1598056970 | Laine Anne Gutierrez | Speech-Language Pathologist | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2011-04-20 |
| 1801113717 | Timothy A Lesondak | Physical Therapist | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2010-05-01 |
| 1770818643 | Julie Rabon | Speech-Language Pathologist | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2009-10-12 |
| 1245563683 | Douglas Wayne Morris | Chiropractor | 6911 Shannon Willow Rd, Charlotte, NC 28226-1346 | 2009-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851451850 | Myrna R Thompson | Psychiatry & Neurology | 1981 J N Pease Pl Ste 204, Charlotte, NC 28262-4526 | 2006-12-11 |
| 1902913015 | Linda B Snyder | Psychiatry & Neurology | 8604 Cliff Cameron Dr Ste 152, Charlotte, NC 28269-8526 | 2006-08-24 |
| 1255349114 | Rebecca R Tomsyck | Psychiatry & Neurology | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2006-08-04 |
| 1770056038 | Pediatric and Family Behavioral Health Acquisition Group Pllc | Psychiatry & Neurology | 10420 Park Rd Ste 300, Charlotte, NC 28210-8502 | 2019-01-09 |
| 1548573231 | David Patton | Psychiatry & Neurology | 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273-4179 | 2010-07-22 |
| 1962630418 | Claire Slocumb | Psychiatry & Neurology | 501 Billingsley Rd, Ste B, Charlotte, NC 28211-1009 | 2009-06-23 |
| 1194962548 | Thompson Child and Family Focus | Psychiatry & Neurology | 769 N Wendover Rd, Charlotte, NC 28211-1118 | 2009-01-07 |
| 1043456700 | Thompson Child and Family Focus | Psychiatry & Neurology | 769 N Wendover Rd, Charlotte, NC 28211 | 2008-12-31 |
| 1952560435 | Irm Bellavia | Psychiatry & Neurology | 11111 Carmel Commons Blvd, Suite 220, Charlotte, NC 28226-5319 | 2008-06-09 |
| 1386713113 | Rabiya Hasan | Psychiatry & Neurology | 501 Billingsley Rd, Ste B, Charlotte, NC 28211-1009 | 2006-11-07 |
| Find all providers in CHARLOTTE | ||||
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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.