| Che Behavioral Health Services Of North Carolina, P.c | |
|
2015 Ayrsley Town Blvd Ste 202 Charlotte NC 28273-4068 | |
| (888) 515-3834 | |
| Not Available |
| Full Name | Che Behavioral Health Services Of North Carolina, P.c |
|---|---|
| Speciality | Social Worker |
| Location | 2015 Ayrsley Town Blvd Ste 202, Charlotte, North Carolina |
| Authorized Official Name and Position | Scott Gordon (OWNER) |
| Authorized Official Contact | 8885153834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Che Behavioral Health Services Of North Carolina, P.c Po Box 70209 Newark NJ 07101-0077 Ph: (888) 515-3834 | Che Behavioral Health Services Of North Carolina, P.c 2015 Ayrsley Town Blvd Ste 202 Charlotte NC 28273-4068 Ph: (888) 515-3834 |
| NPI Number | 1699351874 |
|---|---|
| Provider Enumeration Date | 03/19/2021 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Medicare PECOS PAC ID | 2163821133 |
|---|---|
| Medicare Enrollment ID | O20210524001894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699351874 | NPI | - | NPPES |
| Provider Name | Fauzia F Shah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962507434 PECOS PAC ID: 2567439763 Enrollment ID: I20040916000411 |
| Provider Name | Robert W Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780758094 PECOS PAC ID: 5294785143 Enrollment ID: I20050127000896 |
| Provider Name | Amy M Gragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417924085 PECOS PAC ID: 1951326396 Enrollment ID: I20051013001035 |
| Provider Name | Susan Curtis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093776320 PECOS PAC ID: 6305864299 Enrollment ID: I20130910000688 |
| Provider Name | Delores Estelle Burrill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750532461 PECOS PAC ID: 6204127087 Enrollment ID: I20160627000259 |
| Provider Name | Jacqueline Wait |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104308360 PECOS PAC ID: 7113270588 Enrollment ID: I20181101000651 |
| Provider Name | Ebony Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346771318 PECOS PAC ID: 6800128588 Enrollment ID: I20191030000341 |
| Provider Name | Scott Moore Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821038159 PECOS PAC ID: 5799715413 Enrollment ID: I20210630004040 |
| Provider Name | Paulisha Da-shawna Mcintyre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376054627 PECOS PAC ID: 3870900871 Enrollment ID: I20210719002522 |
| Provider Name | Fanteema Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093977274 PECOS PAC ID: 9830478536 Enrollment ID: I20210730000087 |
| Provider Name | Nicole Beal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518539691 PECOS PAC ID: 9133526148 Enrollment ID: I20210917001289 |
| Provider Name | Louis Muggeo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891235354 PECOS PAC ID: 7214212547 Enrollment ID: I20211005000980 |
| Provider Name | Demetric Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629190848 PECOS PAC ID: 9638270226 Enrollment ID: I20220315000948 |
| Provider Name | Heather Anne Kane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831130368 PECOS PAC ID: 6800282443 Enrollment ID: I20220406002282 |
| Provider Name | Lauren Elizabeth Kulp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437774205 PECOS PAC ID: 1153717640 Enrollment ID: I20220411000226 |
| Provider Name | Tiffany Schiffner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316228950 PECOS PAC ID: 9931369113 Enrollment ID: I20220602001653 |
| Provider Name | Lindsey Renee Goldberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205599354 PECOS PAC ID: 4385026780 Enrollment ID: I20220802001112 |
| Provider Name | Aiereal Capria Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437811932 PECOS PAC ID: 0840673950 Enrollment ID: I20220822002362 |
| Provider Name | Liza Schaffner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861401531 PECOS PAC ID: 6709883424 Enrollment ID: I20221202002871 |
| Provider Name | Joseph Saturley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225068331 PECOS PAC ID: 4385951011 Enrollment ID: I20221205000849 |
| Provider Name | Jared Williams Atkinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629424114 PECOS PAC ID: 4587955893 Enrollment ID: I20221219000175 |
| Provider Name | Simone Lishka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760402531 PECOS PAC ID: 1254314636 Enrollment ID: I20221228000336 |
| Provider Name | Deedda Renae Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194443788 PECOS PAC ID: 0446621080 Enrollment ID: I20230119000462 |
| Provider Name | Lisa C Diamond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184710550 PECOS PAC ID: 6800924663 Enrollment ID: I20230817002812 |
| Provider Name | Ashley Lynn Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376310441 PECOS PAC ID: 1153771217 Enrollment ID: I20240102002292 |
Barbara Kaplan Mhdl Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 East Woodlawn Road, Suite 136, Charlotte, NC 28217 Phone: 704-527-2108 Fax: 704-527-2108 | |
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Primary Care Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5601 Executive Center Dr Ste 200, Charlotte, NC 28212 Phone: 704-537-1022 Fax: 704-569-0822 | |
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