South Park Behavioral

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SOUTH PARK BEHAVIORAL

Practice address

6845 Fairview Rd
Charlotte, NC 28210-3500

Phone

(704) 442-9065

NPI assigned

Nov 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia Boyer, MDNPI 1518036227

Title

MD

Phone

(704) 442-9065

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia K Boyer, MD

  • Geriatric Psychiatry Physician
  • Charlotte, NC
  • NPI 1518036227
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043382229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103500",
            "telephone_number": "704-442-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103500",
            "telephone_number": "704-442-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PARK BEHAVIORAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "704-442-9065",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Charlotte Rheumatology, PLLC
• South East Mecklenburg County Health Department
• South Fork Optometric Associates, P.a.
• South Lake Pediatrics
• South Park Aesthetics
• South Park Oral Surgery
• Katherine Allison South
• Southcross Family Medicine PLLC
• Southcross Family Medicine PLLC
• Southeast Addiction Institute and Learning Center, Inc

• Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.