Carolina Psychiatric Associates, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

9800612 Issued in NC

Legal business name

CAROLINA PSYCHIATRIC ASSOCIATES, PA

Practice address

2701 Coltsgate Rd
Suite 105
Charlotte, NC 28211-3534

Phone

(704) 541-1213

Fax

(704) 541-4210

NPI assigned

Jun 21, 2011

Organization subpart

No

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

Authorized official

Name

Keith Logan, M.D.

Title

Owner/Provider

Phone

(704) 541-1213

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.

• Teri E Layzell, MSW, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1710151709
  NPD (past)

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1114213998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 COLTSGATE RD",
            "address_2": "SUITE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113534",
            "telephone_number": "704-541-1213",
            "fax_number": "704-541-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 COLTSGATE RD",
            "address_2": "SUITE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113534",
            "telephone_number": "704-541-1213",
            "fax_number": "704-541-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PSYCHIATRIC ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "704-541-1213",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "9800612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Pharmacy
• Carolina Physical Medicine PC
• Carolina Physicians Group, PC
• Carolina Podiatry Group, Inc.
• Carolina Premier Care Group LLC
• Carolina Psychiatry and Addiction Services PLLC
• Carolina Psychological Institute, PLLC
• Carolina Psychology Center, PLLC
• Carolina PT Solutions LLC
• Carolina Recovery Center Dba a New Hope for Addiction and Recovery LLC

• 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 Sep 8, 2011; 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.