| Caromont Psychiatric Associates | |
|
1337 E Garrison Blvd Gastonia NC 28054-5127 | |
| (704) 865-3848 | |
| (704) 854-3086 |
| Full Name | Caromont Psychiatric Associates |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1337 E Garrison Blvd, Gastonia, North Carolina |
| Authorized Official Name and Position | David Michael Oconnor (CFO) |
| Authorized Official Contact | 7046715343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caromont Psychiatric Associates Po Box 744786 Atlanta GA 30374-4786 Ph: (704) 834-2450 | Caromont Psychiatric Associates 1337 E Garrison Blvd Gastonia NC 28054-5127 Ph: (704) 865-3848 |
| NPI Number | 1629197744 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 02/28/2023 |
| Certification Date | 02/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629197744 | NPI | - | NPPES |
| 1629197744 | Medicaid | NC | |
| 790163M | Medicaid | NC | |
| 0163M | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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