| Novant Health Psychiatric Associates | |
|
1900 Randolph Road Suite 800 Charlotte NC 28207-1110 | |
| (704) 384-1246 | |
| (704) 384-6072 |
| Full Name | Novant Health Psychiatric Associates |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1900 Randolph Road, Charlotte, North Carolina |
| Authorized Official Name and Position | Leea Jeanine Walton (EDI MANAGER) |
| Authorized Official Contact | 7043166081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Health Psychiatric Associates Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-1246 | Novant Health Psychiatric Associates 1900 Randolph Road Suite 800 Charlotte NC 28207-1110 Ph: (704) 384-1246 |
| NPI Number | 1588610471 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588610471 | NPI | - | NPPES |
| 89015Y5 | Medicaid | NC | |
| NPB139 | Medicaid | SC | |
| CC5118 | Other | NC | RAILROAD MEDICARE |
| 6006145 (LCSWS ONLY) | Medicaid | NC | |
| 015Y5 | Other | NC | BCBS NC |
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