Altavera Behavioral Health PC

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

Legal business name

ALTAVERA BEHAVIORAL HEALTH PC

Practice address

432 Copperfield Blvd NE Ste 200
Concord, NC 28025-2427

Phone

(704) 906-9573

NPI assigned

Apr 6, 2026

Organization subpart

No

Name

Jonathan Keith Stoudmire Sr., MD

Title

Medical Director

Phone

(704) 699-5296

Tax ID family

Altavera Behavioral Health PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Altavera Behavioral Health PC

  • Addiction Psychiatry Physician
  • Concord, NC
  • NPI 1487594271
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2026.

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1174465702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 COPPERFIELD BLVD NE STE 200",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252427",
            "telephone_number": "704-906-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 COPPERFIELD BLVD NE STE 200",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252427",
            "telephone_number": "704-906-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAVERA BEHAVIORAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "STOUDMIRE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "704-699-5296",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khaled Alsaba
• Ashraf Alsaidi, PHARMD
• Sarah Alsammak
• John Alsop, RBT
• Landon Cole Alston, PA
• Altavera Behavioral Health PC
• Alternative Living Solutions of North Carolina
• Altruistic Caregiver, LLC
• Brianna Alvarez
• Christopher Ambrose

• All providers in Concord, NC
• Addiction Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.