Organization Active NPI

Hope Psychiatric PLLC

  • Psychiatry Physician
  • Gastonia, NC
National Provider Identifier
1376577833
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
126740 Issued in NC
Legal business name
HOPE PSYCHIATRIC PLLC
Practice address
438 E Long Ave Ste 1
Gastonia, NC 28054-3500
Phone
(704) 854-9595
Fax
(704) 852-4488
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Subhash P Patel, MD
Title
Owner
Phone
(704) 854-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 126740 NC Primary

Addresses

Primary practice location

438 E Long Ave Ste 1
Gastonia, NC 28054-3500

Mailing address

5029 Chestnut Knoll LN
Charlotte, NC 28269
Phone (704) 596-7188

Other identifiers 3

IdentifierTypeStateIssuer
N01101OtherSCSC MEDICAID
5900720MedicaidNC
399184OtherVALUE OPTIONS

National Provider Directory

National Provider Directory

Locations

438 E Long Ave
Ste 1
Gastonia, NC 28054
Phone (704) 854-9595

1220 N Flint St
Lincolnton, NC 28092
Phone (704) 240-5260

320 E Graham St
Shelby, NC 28150
Phone (704) 854-9595

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1376577833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5029 CHESTNUT KNOLL LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28269",
            "telephone_number": "704-596-7188",
            "fax_number": "704-596-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 E LONG AVE STE 1",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543500",
            "telephone_number": "704-854-9595",
            "fax_number": "704-852-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE PSYCHIATRIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUBHASH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-854-9595",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "126740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "N01101",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900720",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "399184",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.