DR. CHARLES J SCHMITTDIEL (NPI# 1902889520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902889520 |
| Entity Type | Individual |
| Full Name | DR. CHARLES J SCHMITTDIEL |
| Credential | PHD |
| Practice Address |
380 Copperfield Blvd Ne Concord NC 28025-2402 |
| Practice Telephone | 7042621800 |
| Practice Fax Number | 7042621836 |
| Mailing Telephone | 7042621800 |
| Mailing Fax Number | 7042621836 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3292 | NC | Behavioral Health & Social Service Providers |
| Street Address |
380 COPPERFIELD BLVD NE |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1063849420 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 380 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2013-10-01 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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|---|---|---|---|---|
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| 1689230872 | Julian Heath | Psychologist | 1001 Grand Summit Blvd Apt 1043, Concord, NC 28027-3732 | 2019-05-14 |
| 1013401595 | Karen Jo Giammusso Shapiro | Psychologist | 59 N Branch Rd, Concord, MA 01742-3807 | 2018-06-19 |
| 1558809335 | Tara Mcbride Afonso | Psychologist | 10 Ferry St Ste 313, Medoptions of New Hampshire, LLC., Concord, NH 03301-5004 | 2017-02-01 |
| 1053664524 | Elizabeth Lavenson Myers | Psychologist | 1157 Fair Weather Cir, Concord, CA 94518-1939 | 2012-10-22 |
| 1447528633 | Debra Ying Fah Tong | Psychologist | 1868 Clayton Rd Ste 126, Concord, CA 94520-2552 | 2011-12-02 |
| 1013202381 | Lauren J Brown | Psychologist | 81 Commonwealth Ave, Suite 8, Concord, MA 01742-2977 | 2011-06-15 |
| 1518274851 | Allison C Flynn | Psychologist | 281 Monsen Rd, Concord, MA 01742-1941 | 2010-09-08 |
| 1932330073 | Avninder Singh Anand | Psychologist | 1470 Civic Court, Suite 100, Concord, CA 94520 | 2009-08-06 |
| Find all providers in CONCORD | ||||
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| 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.