Organization · Type 2 NPI

The Charlotte-Mecklenburg Hospital Authority

Child & Adolescent Psychiatry Physician · Albemarle, NC

NPI number 1710314133 Active

Practice location

923 N 2nd St, Ste 105
Albemarle, NC 28001-3317

Call (704) 403-1877 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Specialties and licenses

Taxonomy	Code	License
Psychiatry Physician	2084P0800X	None listed
Child & Adolescent Psychiatry Physician Primary	2084P0804X	None listed

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

13 other providers at this address

NPI record

NPI: 1710314133
Entity type: Organization (Type 2)
Issued: Sep 30, 2013
Last updated: Mar 9, 2023
Status: Active
Subpart: Yes of The Charlotte-Mecklenburg Hospital Authority

Other names

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Atrium Health Behavioral Health Psychiatry & Counseling · doing business as
Northeast Psychiatric Services - Albemarle · doing business as

Authorized official

Scott Rissmiller
Enterprise EVP
(704) 355-8675

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1710314133

The Charlotte-Mecklenburg Hospital Authority's National Provider Identifier is 1710314133, issued on Sep 30, 2013. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Albemarle, NC. The record was last updated on Mar 9, 2023.