THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY (NPI# 1063849420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063849420 |
| Entity Type | Organization |
| Organization Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Other Organization Name | NORTHEAST PSYCHIATRIC SERVICES |
| Practice Address |
380 Copperfield Blvd Ne Concord NC 28025-2402 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7044031800 |
| Mailing Telephone | 7046310002 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | THOMAS LAYMON (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7044468250 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NorthEast Psychiatric Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649718 | The Charlotte-mecklenburg Hospital Authority | Surgery | 101 E Wt Harris Blvd Ste 5500a, Charlotte, NC 28262-3485 | 2020-08-10 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| 1942674775 | The Charlotte-mecklenburg Hospital Authority | Skilled Nursing Facility | 625 Bethany Road, Albemarle, NC 28001 | 2015-11-17 |
| 1356778567 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 101 E W T Harris Blvd Bldg 3000, Ste 3301e, Charlotte, NC 28262-3485 | 2013-10-02 |
| 1588978290 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 441 Mcalister Road, Suite 1100b, Lincolnton, NC 28092-0000 | 2010-08-05 |
| 1477884302 | The Charlotte-mecklenburg Hospital Authority | Orthopaedic Surgery | 275 Highway 16 N, Suite 202, Denver, NC 28037-3002 | 2010-01-15 |
| 1326088139 | The Charlotte-mecklenburg Hospital Authority | General Acute Care Hospital | 433 Mcalister Drive, Lincolnton, NC 28092-4147 | 2006-06-08 |
| 1114564416 | The Charlotte-mecklenburg Hospital Authority | Pediatrics | 150 Winchester Ave, Monroe, NC 28110-3161 | 2019-12-05 |
| 1538637137 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 2301 Us Highway 74 W, Wadesboro, NC 28170-7554 | 2018-11-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | The Charlotte-Mecklenburg Hospital Authority | 1111 Metropolitan Avenue, Suite 600, Charlotte, NC 28204 |
| Washington State Corporations | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY | 1000 Blythe Blvd, Charlotte, NC 28203 |
| Colorado Business Entities | The Charlotte-Mecklenburg Hospital Authority | C/o Office of General Counsel, 1000 Blythe Boulevard, Charlotte, NC 28203 |
| Alabama Business Registrations | The Charlotte-Mecklenburg Hospital Authority | 1000 Blythe Boulevard, Charlotte, NC 28203 |
| Virginia Business Entities | The Charlotte-Mecklenburg Hospital Authority | 1111 Metropolitan Avenue Suite 600, Charlotte, North Carolina 28204 |
| 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 |
| 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 |
| 1154575926 | Sterling Hammond | Marriage & Family Therapist | 380 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2008-11-06 |
| 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 | 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 |
|---|---|---|---|---|
| 1023334588 | O B Towery Md Inc | Psychiatry & Neurology | 1000 Burnett Ave Ste 435, Concord, CA 94520-2088 | 2010-04-08 |
| 1295846079 | Beth Brownlow | Psychiatry & Neurology | 414 Powder Mill Rd, Concord, MA 01742-4808 | 2006-08-31 |
| 1215954722 | Philip Shain | Psychiatry & Neurology | 2630 Salvio St, Concord, CA 94519-2532 | 2006-07-17 |
| 1881641546 | Kathleen Lentz | Psychiatry & Neurology | 70a Junction Square Dr, Concord, MA 01742-3049 | 2006-05-28 |
| 1174974505 | Concord Behavioral Health, LLC | Psychiatry & Neurology | 89 N State St, Concord, NH 03301-4334 | 2016-06-27 |
| 1538401104 | Ashley Helseth | Psychiatry & Neurology | 100 Medical Park Dr, Suite 310, Concord, NC 28025-2948 | 2013-03-21 |
| 1306035050 | Arman Danielyan | Psychiatry & Neurology | 2740 Grant St, Concord, CA 94520-2265 | 2007-10-18 |
| 1548394547 | Diana Lynn Weiner | Psychiatry & Neurology | 105 Loudon Rd Bldg 3, Concord, NH 03301-5600 | 2007-03-14 |
| 1669545786 | Jon Elnes Whalen | Psychiatry & Neurology | 2425 Bisso Ln, Ste 280, Concord, CA 94520-4897 | 2006-11-16 |
| 1295843175 | Sarah E Walsh | Psychiatry & Neurology | 105 Loudon Rd Bldg 3, Concord, NH 03301-5600 | 2006-08-29 |
| Find all providers in CONCORD | ||||
Please comment or provide details below to improve the information on THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY.
| 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.