Novant Health Psychiatric Associates
LBN: Novant Health Medical Group, Llc
Novant Health Psychiatric Associates is an health care organization with primary practice located at 1900 Randolph Road Suite 800, Charlotte NC 28207-1110. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Novant Health Medical Group, Llc can be contacted via phone (704) 384-1246, or through Walton, Leea Jeanine via phone (704) 316-6081.
Contact Information
Primary practice address
1900 Randolph Road Suite 800
Charlotte NC 28207-1110
Phone: (704) 384-1246
Fax: (704) 384-6072
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X |
Profile Details
NPI number | 1588610471 |
---|---|
LBN Legal business name | Novant Health Medical Group, Llc |
DBA Doing business as | Novant Health Psychiatric Associates |
Authorized official | Walton, Leea Jeanine |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | May 25th, 2006 |
Last updated | Jun 20th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588610471 | NPPES |
North Carolina | MEDICAID | 89015Y5 | |
North Carolina | MEDICAID | NPB139 | |
North Carolina | Other | CC5118 | |
North Carolina | MEDICAID | 6006145 (LCSWS ONLY) | |
North Carolina | Other | 015Y5 |
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