NPIMap

Individual provider Active NPI

Subhash Pralad Patel, M.D.

  • Psychiatry Physician
  • Gastonia, NC
National Provider Identifier
1477585677
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9701100 Issued in NC
Practice address
438 E Long Ave Ste 1
Gastonia, NC 28054-3500
Phone
(704) 854-9595
Fax
(704) 852-4488
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 9701100 NC Primary

Addresses

Primary practice location

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

Mailing address

5029 Chestnut Knoll LN
Charlotte, NC 28269-8242
Phone (704) 854-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Psychiatric PLLC Psychiatry Past Accepting new patients
New River Service Authority Past Accepting new patients
Gaston-Lincoln-Cleveland Mental Health Substance Abuse DD Past Accepting new patients
Triumph LLC Past Accepting new patients
Primary Care Solutions Inc Psychiatry PastSince Nov 1, 2004 Accepting new patients
Carolina Behavioral Care, P.a. Psychiatry Past Accepting new patients
New River Service Authority Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1477585677",
    "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": "282698242",
            "telephone_number": "704-854-9595",
            "fax_number": "704-852-4488"
        },
        {
            "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": {
        "last_name": "PATEL",
        "first_name": "SUBHASH",
        "middle_name": "PRALAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "9701100",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.