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:
Map and Directions
Authorized official contact:
Name: Walton, Leea Jeanine
Phone: (704) 316-6081

Health care specialties

SpecialtyCodeLicense #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 6 months ago

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.

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Identifiers

StateTypeNumberIssuer
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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