NORTH CAROLINA NEUROPSYCHIATRY, P.A.
Clinical Neuropsychologist
Chapel Hill, North Carolina
Provider NPI: 1265403042
Organization Information:Organization Name: NORTH CAROLINA NEUROPSYCHIATRY, P.A.
Organization is not Subpart
Authorized Official: JENI GROVES CLINIC ADMINISTRATOR 919-9332000
Practice Location:
400 FRANKLIN SQUARE NORTH CAROLINA NEUROPSYCHIATRY CHAPEL HILL, NC 27514 US
Tel: 919-933-2000 Fax: 919-933-2830
Business Mailing Address:
1829 E FRANKLIN ST CHAPEL HILL, NC 27514 US
Tel: 919-933-2000 Fax: 919-933-2830
Entity Type: Organization
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Organization is not Subpart
Authorized Official: JENI GROVES CLINIC ADMINISTRATOR 919-9332000
Practice Location:
400 FRANKLIN SQUARE NORTH CAROLINA NEUROPSYCHIATRY CHAPEL HILL, NC 27514 US
Tel: 919-933-2000 Fax: 919-933-2830
Business Mailing Address:
1829 E FRANKLIN ST CHAPEL HILL, NC 27514 US
Tel: 919-933-2000 Fax: 919-933-2830
Entity Type: Organization
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | ||
N | 103T00000X | Behavioral Health & Social Service Providers Psychologist | ||
Y | 2084P0804X | Physicians Psychiatry & Neurology |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
6006752 | NC | 05 | |
890143G | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin