| Chai Clinical Concepts, Pllc | |
|
1136 Sam Newell Rd Ste A1 Matthews NC 28105-5063 | |
| (828) 279-4271 | |
| Not Available |
| Full Name | Chai Clinical Concepts, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1136 Sam Newell Rd Ste A1, Matthews, North Carolina |
| Authorized Official Name and Position | Nivedita Roy (OWNER) |
| Authorized Official Contact | 8282794271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chai Clinical Concepts, Pllc Po Box 1328 Skyland NC 28776-1328 Ph: () - | Chai Clinical Concepts, Pllc 1136 Sam Newell Rd Ste A1 Matthews NC 28105-5063 Ph: (828) 279-4271 |
| NPI Number | 1285490656 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 7517303829 |
|---|---|
| Medicare Enrollment ID | O20240308002800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285490656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Nivedita Roy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710922257 PECOS PAC ID: 8426494733 Enrollment ID: I20240308002940 |
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