Active NPI
CMC-Northeast, Inc.
Doing business as NorthEast Psychiatric Services - Albemarle
- Psychiatry Physician
- Albemarle, NC
National Provider Identifier
1184777617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- CMC-NORTHEAST, INC.
- Doing business as
- NorthEast Psychiatric Services - Albemarle
- Practice address
- 105 Yadkin Street
Suite 302
Albemarle, NC 28001-3454 - Phone
- (704) 403-1877
- Fax
- (704) 986-2150
- NPI assigned
- Jan 19, 2007
- Last updated
- Jun 1, 2012
- Organization subpart
- Yes
- Parent organization
- CMC-NORTHEAST, INC.
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
- VP Physician Services
- Phone
- (704) 403-4146
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | |||
| Psychologist | 103T00000X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Clinical Psychologist | 103TC0700X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Family Psychologist | 103TF0000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
105 Yadkin Street
Suite 302
Albemarle, NC 28001-3454
Mailing address
105 Yadkin Street
Suite 302
Albemarle, NC 28001-3454
Phone (704) 403-1877
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005328 | Medicaid | NC | |
| 6006579 | Other | NC | MEDICAID, EFF 10/27/2008 |
| CC2854 | Other | NC | RAILROAD MEDICARE |
| 019G5 | Other | NC | BCBSNC |
| 566000156058 | Other | NC | TRICARE STANDARD, NON NWK |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| 355573 | Other | NC | MAMSI |
| 89015E5 | Medicaid | NC | |
| B948 | Other | NC | PARTNERS MEDICARE CHOICE |
| 019G5 | Other | NC | BCBS EFF 7-1-07 |
| 5906956 | Medicaid | NC |
Other names 1
- NorthEast Psychiatric Services - Albemarle
National Provider Directory
National Provider Directory- Part of
- CMC - Northeast Inc
Locations
105 Yadkin St
Ste 302
Albemarle, NC 28001
Phone (704) 403-1877
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": "1338508800000",
"number": "1184777617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 YADKIN STREET",
"address_2": "SUITE 302",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013454",
"telephone_number": "704-403-1877",
"fax_number": "704-986-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 YADKIN STREET",
"address_2": "SUITE 302",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013454",
"telephone_number": "704-403-1877",
"fax_number": "704-986-2150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CMC-NORTHEAST, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CMC-NORTHEAST, INC.",
"enumeration_date": "2007-01-19",
"last_updated": "2012-06-01",
"status": "A",
"authorized_official_last_name": "LOWDER",
"authorized_official_first_name": "FRIEDA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VP PHYSICIAN SERVICES",
"authorized_official_telephone_number": "704-403-4146"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005328",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID, EFF 10/27/2008",
"identifier": "6006579",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CC2854",
"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": "566000156058",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "DF8926",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "355573",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89015E5",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS MEDICARE CHOICE",
"identifier": "B948",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS EFF 7-1-07",
"identifier": "019G5",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5906956",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NorthEast Psychiatric Services - Albemarle",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Albemarle, NC
- Jane S. Clark, COTA/L
- Rebecca Dianne Clay, RPH
- Clearer Minds Counseling and Consulting PLLC
- Judy Cline, LCSW
- CMC-Northeast, Inc. (Northeast Oncology Associates, Alb)
- CMC-Northeast, Inc. (Stanly Regional Hospitalist Physicians)
- CNC / Access, Inc
- CNC /Access, Inc. (ResCare HomeCare)
- Elaine M Coats, MD
- Emma Herlocker Coley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.