NPIMap

Organization Active NPI

Excel Psychiatric Associates, PA

  • Psychiatry Physician
  • Huntersville, NC
National Provider Identifier
1306183546
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2009-00088 Issued in NC
Legal business name
EXCEL PSYCHIATRIC ASSOCIATES, PA
Practice address
10225 Hickorywood Hill Ave
Suite B
Huntersville, NC 28078-3431
Phone
(704) 457-9292
Fax
(704) 274-5783
NPI assigned
Jan 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Tiffany Christine Chepke, LCSW
Title
Co-Owner
Phone
(704) 457-9292

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X C007832 NC
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X 2009-00088 NC Primary

Addresses

Primary practice location

10225 Hickorywood Hill Ave
Suite B
Huntersville, NC 28078-3431

Mailing address

10225 Hickorywood Hill Ave
Suite B
Huntersville, NC 28078-3431
Phone (704) 457-9292

Other identifiers 1

IdentifierTypeStateIssuer
5912334MedicaidNC

National Provider Directory

National Provider Directory

Locations

10225 Hickorywood Hill Ave
Ste B
Huntersville, NC 28078
Phone (704) 457-9292

111 West Ave
Kannapolis, NC 28081
Phone (704) 457-9292

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1306183546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 HICKORYWOOD HILL AVE",
            "address_2": "SUITE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783431",
            "telephone_number": "704-457-9292",
            "fax_number": "704-274-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 HICKORYWOOD HILL AVE",
            "address_2": "SUITE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783431",
            "telephone_number": "704-457-9292",
            "fax_number": "704-274-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PSYCHIATRIC ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "CHEPKE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "704-457-9292",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007832",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2009-00088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5912334",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.