Southpark Behavioral Medicine Specialists, P.A.
LBN: Southpark Behavioral Medicine Specialists, P.A.
Southpark Behavioral Medicine Specialists, P.A. is an health care organization with primary practice located at 6845 Fairview Rd , Charlotte NC 28210-3500. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Southpark Behavioral Medicine Specialists, P.A. can be contacted via phone (704) 442-1655, or through Boyer, Patricia K via phone (704) 442-1655.
Contact Information
Primary practice address
6845 Fairview Rd
Charlotte NC 28210-3500
Phone: (704) 442-1655
Fax: (704) 442-9360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 9300426 | North Carolina |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 9300426 | North Carolina |
Profile Details
| NPI number | 1588698559 |
|---|---|
| LBN Legal business name | Southpark Behavioral Medicine Specialists, P.A. |
| DBA Doing business as | |
| Authorized official | Boyer, Patricia K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588698559 | NPPES |
| North Carolina | MEDICAID | 7917260 |
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