Active NPI
Carolinas Medical Center-Northeast
Doing business as NorthEast Psychiatric Services - Harrisburg
- Psychiatry Physician
- Harrisburg, NC
National Provider Identifier
1013060292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- CAROLINAS MEDICAL CENTER-NORTHEAST
- Doing business as
- NorthEast Psychiatric Services - Harrisburg
- Practice address
- 5427 Highway 49 S
Suite 105
Harrisburg, NC 28075-7408 - Phone
- (704) 454-7268
- Fax
- (704) 455-4990
- NPI assigned
- Jan 19, 2007
- Last updated
- Sep 25, 2013
- Organization subpart
- Yes
- Parent organization
- CAROLINAS MEDICAL CENTER-NORTHEAST
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frieda M Lowder
- Title
- Sr. Vice President
- Phone
- (704) 403-1780
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | ||
| Counselor | 101Y00000X | NU | ||
| Professional Counselor | 101YP2500X | NU | ||
| Psychologist | 103T00000X | NU | ||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | NU | ||
| Clinical Psychologist | 103TC0700X | NU | ||
| Clinical Child & Adolescent Psychologist | 103TC2200X | NU | ||
| Family Psychologist | 103TF0000X | NU | ||
| Social Worker | 104100000X | NU | ||
| Marriage & Family Therapist | 106H00000X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
5427 Highway 49 S
Suite 105
Harrisburg, NC 28075-7408
Mailing address
5427 Highway 49 S
Suite 105
Harrisburg, NC 28075-7408
Phone (704) 454-7268
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6006310 | Medicaid | NC | |
| 89015E8 | Medicaid | NC | |
| 019G5 | Other | NC | BCBS EFF 7-1-07 |
| 355573 | Other | NC | MAMSI |
| 5906958 | Medicaid | NC | |
| B948 | Other | NC | PARTNERS MEDICARE CHOICE |
| 019G5 | Other | NC | BCBSNC |
| 566000156057 | Other | NC | TRICARE STANDARD, NON NWK |
| 6005328 | Other | NC | GROUP NO FOR LCSW & PHD |
| CC2854 | Other | NC | RAILROAD MEDICARE |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
Other names 1
- NorthEast Psychiatric Services - Harrisburg
National Provider Directory
National Provider Directory- Part of
- CMC - Northeast Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Internal Medicine Physician
- Concord, NC
- NPI 1740241801
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Harrisburg, NC
- NPI 1265443683
-
- Counselor
- Harrisburg, NC
- NPI 1568781391
-
- Psychiatry Physician
- Morganton, NC
- NPI 1740504364
-
- Counselor
- Harrisburg, NC
- NPI 1003883984
-
- Psychiatry Physician
- Albemarle, NC
- NPI 1750572079
-
- Psychiatry Physician
- Harrisburg, NC
- NPI 1447889597
-
- Psychiatry Physician
- Concord, NC
- NPI 1871931857
-
- Psychiatry Physician
- Harrisburg, NC
- NPI 1124048863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380067200000",
"number": "1013060292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5427 HIGHWAY 49 S",
"address_2": "SUITE 105",
"city": "HARRISBURG",
"state": "NC",
"postal_code": "280757408",
"telephone_number": "704-454-7268",
"fax_number": "704-455-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5427 HIGHWAY 49 S",
"address_2": "SUITE 105",
"city": "HARRISBURG",
"state": "NC",
"postal_code": "280757408",
"telephone_number": "704-454-7268",
"fax_number": "704-455-4990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINAS MEDICAL CENTER-NORTHEAST",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROLINAS MEDICAL CENTER-NORTHEAST",
"enumeration_date": "2007-01-19",
"last_updated": "2013-09-25",
"status": "A",
"authorized_official_last_name": "LOWDER",
"authorized_official_first_name": "FRIEDA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SR. VICE PRESIDENT",
"authorized_official_telephone_number": "704-403-1780"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6006310",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89015E8",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS EFF 7-1-07",
"identifier": "019G5",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "355573",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5906958",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS MEDICARE CHOICE",
"identifier": "B948",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "019G5",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE STANDARD, NON NWK",
"identifier": "566000156057",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NO FOR LCSW & PHD",
"identifier": "6005328",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CC2854",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "DF8926",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NorthEast Psychiatric Services - Harrisburg",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Harrisburg, NC
- Cabarrus Memorial Hospital (Northeast Psychiatric &Psychological Institute)
- Carillon Assisted Living of Harrisburg
- Glenda Carlton, PHARMD
- Carolina Eye Doctors OD PLLC
- Carolina Physical Therapy Associates LLC (CORA Physical Therapy - Harrisburg)
- Carolinas Medical Center-Northeast (Ardsley Internal Medicine-Harrisburg)
- Carolinas Physicians Network Inc (Atrium Health Primary Care Cabarrus Family Medicine)
- Carolinas Physicians Network Inc (Atrium Health Primary Care Cabarrus Family Medicine)
- Carolinas Physicians Network Inc (Atrium Health Women's Care Copperfield OB/GYN)
- Jeremy Johnson Carter, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.