NPIMap

Organization Active NPI

Salisbury Psychiatric Associates PC

  • Psychiatry Physician
  • Salisbury, NC
National Provider Identifier
1407928674
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SALISBURY PSYCHIATRIC ASSOCIATES PC
Practice address
427 W Innes St
Salisbury, NC 28144-4232
Phone
(704) 637-5151
Fax
(704) 637-1153
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Mrs. Chereka Brown Cherry
Title
Office Manager
Phone
(704) 637-5151

Specialties & licenses 1

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

Addresses

Primary practice location

427 W Innes St
Salisbury, NC 28144-4232

Mailing address

427 W Innes St
Salisbury, NC 28144-4232
Phone (704) 637-5151

Other identifiers 2

IdentifierTypeStateIssuer
890120LMedicaidNC
6005117MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420001578 NC Part B Supplier - Clinic/Group Practice 5799771424 Receives reassigned benefits from 3 practitioners
Practice locations: Salisbury, NC

National Provider Directory

National Provider Directory

Locations

505 W Franklin St
Salisbury, NC 28144
Phone 7046375151218

427 W Innes St
Salisbury, NC 28144
Phone (704) 357-5151

Practitioners & affiliated clinicians

Practitioners 12

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1407928674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 W INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444232",
            "telephone_number": "704-637-5151",
            "fax_number": "704-637-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 W INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444232",
            "telephone_number": "704-637-5151",
            "fax_number": "704-637-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALISBURY PSYCHIATRIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "CHEREKA",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-637-5151",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890120L",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005117",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.