Altavera Behavioral Health PC

Organization Active NPI Addiction Psychiatry Physician · Concord, NC

NPI 1487594271 · NPPES record last updated Apr 7, 2026

Key facts

NPI
1487594271
Entity type
Organization (NPI type 2)
Primary specialty
Addiction Psychiatry Physician 2084P0802X
Legal business name
ALTAVERA BEHAVIORAL HEALTH PC
Practice address
432 Copperfield Blvd NE Ste 200
Concord, NC 28025-2427
Phone
(704) 906-9573
NPI assigned
Mar 31, 2026
Organization subpart
No

Authorized official

Name
Jonathan Keith Stoudmire, MD
Title
Medical Director
Phone
(704) 906-9573

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Altavera Behavioral Health PC (2 organizations share this tax ID)

Locations

432 Copperfield Blvd NE
Ste 200
Concord, NC 28025
Phone (704) 906-9573

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084P0802X Yes

Addresses

Primary practice location

432 Copperfield Blvd NE Ste 200
Concord, NC 28025-2427

Mailing address

432 Copperfield Blvd NE Ste 200
Concord, NC 28025-2427
Phone (704) 906-9573

Other providers in Concord, NC

All providers in Concord, NC · Addiction Psychiatry Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.