PROVIDENCE BEHAVIORAL HEALTH PA (NPI# 1578835674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578835674 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE BEHAVIORAL HEALTH PA |
| Practice Address |
8029 Corporate Center Dr Suite 200 Charlotte NC 28226-4547 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 7045437574 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |
| Authorized Official Name | DR. PREETINDER BRAR (PRESIDENT) |
| Authorized Official Telephone | 7045437574 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PROVIDENCE BEHAVIORAL HEALTH PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Street Address |
8029 CORPORATE CENTER DR SUITE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-4547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336463173 | William Alvis Sims Jr. | Counselor | 8029 Corporate Center Dr, Suite 200, Charlotte, NC 28226-4547 | 2010-03-23 |
| 1346624749 | Bruce Knight | Counselor | 8029 Corporate Center Dr, Charlotte, NC 28226-4547 | 2015-07-15 |
| 1922481282 | Jessica Mccall | Marriage & Family Therapist | 8029 Corporate Center Dr, Suite 100, Charlotte, NC 28226-4547 | 2015-07-06 |
| 1679995278 | Jessee Shane Eppley | Marriage & Family Therapist | 8029 Corporate Center Dr, Suite 100, Charlotte, NC 28226-4547 | 2014-01-16 |
| 1851689145 | Amy K Bilmanis | Counselor | 8029 Corporate Center Dr, Charlotte, NC 28226-4547 | 2011-07-20 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790022051 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 2728 West Mallard Creek Rd, Suite 300, Charlotte, NC 28262 | 2013-01-07 |
| 1457626004 | Grover Clinic P.C. | Non-Pharmacy Dispensing Site | 10320 Feld Farm Ln, Suite 300, Charlotte, NC 28210-8483 | 2012-03-15 |
| 1669741443 | Northcross Medical Center, P.C. | Non-Pharmacy Dispensing Site | 4922 Albemarle Rd, Charlotte, NC 28205-6618 | 2011-12-22 |
| 1922278241 | Metrolina Pain Clinic Dispensary | Non-Pharmacy Dispensing Site | 6300 E Independence Blvd., Suite B, Charlotte, NC 28212 | 2008-03-03 |
| 1750789301 | Vitality Plus Pa | Non-Pharmacy Dispensing Site | 300 Billingsley Rd, Suite 204, Charlotte, NC 28211-1075 | 2014-12-15 |
| 1376880096 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 3250 Wilkinson Blvd, Suite 1, Charlotte, NC 28208-5665 | 2013-01-15 |
| 1477829729 | Comprehensive Pain & Spine Associates Pllc | Non-Pharmacy Dispensing Site | 8035 Providence Rd, Suite 340, Charlotte, NC 28277-9716 | 2012-03-30 |
| 1114290632 | Ballantyne Medical Associates Pllc | Non-Pharmacy Dispensing Site | 12311 Copper Way, Suite 100, Charlotte, NC 28277-3642 | 2012-02-14 |
| 1801168216 | Southcross Family Medicine Pllc | Non-Pharmacy Dispensing Site | 1361 E Morehead St, Charlotte, NC 28204-2937 | 2012-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952775108 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 907 Us 401 Bypass, Laurinburg Commons, Laurinburg, NC 28352 | 2015-11-25 |
| 1417321381 | Urgent Cares of America Nc Inc | Non-Pharmacy Dispensing Site | 5214 Market St, Wilmington, NC 28405-4067 | 2015-11-16 |
| 1003280033 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 825 Blowing Rock Blvd, Lenoir, NC 28645-3709 | 2015-11-13 |
| 1659741361 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1262 East Broad Avenue, Rockingham, NC 28379 | 2015-10-07 |
| 1740650456 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 220 Us Highway 70 West, Garner, NC 27529 | 2015-10-07 |
| 1033589072 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 6010 Glenwood Ave, Raleigh, NC 27612-2602 | 2015-10-02 |
| 1922478205 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 910 N Madison Blvd, Suite B, Roxboro, NC 27573-4573 | 2015-09-30 |
| 1942679519 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 511 Smoky Park Hwy, Candler, NC 28715-8613 | 2015-09-24 |
| 1164891016 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 212 N Spence Ave, Goldsboro, NC 27534-4318 | 2015-09-22 |
| 1811363674 | Unc Physicians Network, LLC | Non-Pharmacy Dispensing Site | 7100-9 Kit Creek Road, Research Triangle Park, NC 27709 | 2015-08-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PROVIDENCE BEHAVIORAL HEALTH PA.
| 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.