Psychiatric and Forensic Associates, P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

17399 Issued in NC

Legal business name

PSYCHIATRIC AND FORENSIC ASSOCIATES, P.A.

Practice address

1515 Mockingbird LN
Charlotte, NC 28209-3239

Phone

(704) 525-1753

Fax

(704) 561-0926

NPI assigned

Jan 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Luther Morris McEwen III, M.D

Title

President

Phone

(704) 525-1753

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1043495419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12216",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282202216",
            "telephone_number": "704-525-1753",
            "fax_number": "704-561-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MOCKINGBIRD LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093239",
            "telephone_number": "704-525-1753",
            "fax_number": "704-561-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC AND FORENSIC ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "MCEWEN",
        "authorized_official_first_name": "LUTHER",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-525-1753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "17399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902801",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Carolyn Prybylowski, MD
• Lindsey Daley Pryor, MA CCC-SLP
• Mariah Prys, PA-C
• Thomas Michael Przybysz II, MD
• Ashley Louise Przybyszewski, M.A., CCC-SLP
• Psychological Assessment Center of Charlotte, PLLC
• Psychological Management Services
• Psychological Management Services (PMS)
• Psychological Services of Charlotte
• Daniel Ptah

• Psychiatry Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.