Forsyth Psychiatric Associates, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2015-01825 Issued in NC

Legal business name

FORSYTH PSYCHIATRIC ASSOCIATES, PLLC

Practice address

2554 Lewisville Clemmons Rd Ste 209
Clemmons, NC 27012-8749

Phone

(336) 660-6000

NPI assigned

May 15, 2017

Organization subpart

No

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

Authorized official

Name

Weiqing Yuan

Title

Medical Director

Phone

(336) 660-6000

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 19

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

• Madeline McCleary Gillon, APRN

  • Gerontology Nurse Practitioner
  • Winston Salem, NC
  • NPI 1427764398
  Medicare reassignment Care Compare group NPD
• Vanessa Ann Quentin

  • Physician Assistant
  • Clemmons, NC
  • NPI 1508749565
  Medicare reassignment Care Compare group NPD
• Sophia Yuan, M.D.

  • Psychiatry Physician
  • Clemmons, NC
  • NPI 1700152915
  Medicare reassignment Care Compare group NPD
• Tyler Kian Owens, PA-C

  • Medical Physician Assistant
  • Clemmons, NC
  • NPI 1477361244
  Medicare reassignment Care Compare group
• Stephanie Amber Rice, PA

  • Physician Assistant
  • Clemmons, NC
  • NPI 1356053219
  Medicare reassignment Care Compare group
• Lindsay Grace Brumfield

  • Physician Assistant
  • Clemmons, NC
  • NPI 1336826221
  Medicare reassignment
• Kendra Paige Hogan, PA-C

  • Physician Assistant
  • Greensboro, NC
  • NPI 1912624248
  Medicare reassignment
• Meghan Eileen Richards, PA-C

  • Physician Assistant
  • Hickory, NC
  • NPI 1376257808
  Medicare reassignment
• Madeleine Chenevert

  • Mental Health Counselor
  • Clemmons, NC
  • NPI 1992321475
  NPD (past)
• Morgan J Kingrey, PA

  • Physician Assistant
  • Winston Salem, NC
  • NPI 1578158796
  NPD (past)
• Madison Lineberger May, LCMHCA

  • Mental Health Counselor
  • Maiden, NC
  • NPI 1568201929
  NPD (past)
• Stephanie Leeanne Phelps

  • Marriage & Family Therapist
  • Wake Forest, NC
  • NPI 1013659614
  NPD (past)

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501891200000",
    "number": "1326575994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 LEWISVILLE CLEMMONS RD, SUITE 209",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "27012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 LEWISVILLE CLEMMONS RD STE 209",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128749",
            "telephone_number": "336-660-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH PSYCHIATRIC ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-08-05",
        "status": "A",
        "authorized_official_last_name": "YUAN",
        "authorized_official_first_name": "WEIQING",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "336-660-6000"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2015-01825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700152915",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRY",
            "identifier": "1700152915",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forsyth Memorial Hospital Inc
• Forsyth Memorial Hospital Inc
• Forsyth Memorial Hospital, Inc
• Forsyth Memorial Hospital, Inc
• Forsyth Memorial Hospital, Inc.
• Foster Chiropractic Clinic
• Amy Diachenko Foster, M.A.
• Foundation Health Systems Corp
• Christina Foust
• Winifred Ellen Fox, PHD LMFT, LPC

• Psychiatry Physician in Clemmons, NC
• Providers in Clemmons, 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 Aug 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.