Providence Behavioral Health

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PROVIDENCE BEHAVIORAL HEALTH

Practice address

8029 Corporate Center Dr Ste 200
Charlotte, NC 28226-4548

Phone

(704) 543-7574

Fax

(704) 543-7959

NPI assigned

Mar 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Preetinder Paul Singh Brar, MD

Title

Owner

Phone

(704) 543-7574

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Providence Behavioral Health PA

  • Non-Pharmacy Dispensing Site
  • Charlotte, NC
  • NPI 1578835674
  NPPES parent name

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1356682355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8029 CORPORATE CENTER DR STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264548",
            "telephone_number": "704-543-7574",
            "fax_number": "704-543-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8029 CORPORATE CENTER DR STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264548",
            "telephone_number": "704-543-7574",
            "fax_number": "704-543-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "PREETINDER",
        "authorized_official_middle_name": "PAUL SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-543-7574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Protea Psychological Services LLC
• Protected Space Therapy, PLLC
• Providastaff, LLC
• Providence Anesthesiology Associates, P.a. (PAA Mobile)
• Providence Anesthesiology Associates, P.a.
• Providence Behavioral Health PA
• Providence Counseling & Training, Inc.
• Providence Eye and Laser Specialists, PC
• Providence Family Psychiatry
• Providence Health Center

• Behavior Analyst in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.