NPIMap

Organization Active NPI

Catawba Valley Medical Center

Doing business as Catawba Valley Psychiatric Services

  • Psychiatry Physician
  • Hickory, NC
National Provider Identifier
1497792469
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CATAWBA VALLEY MEDICAL CENTER
Doing business as
Catawba Valley Psychiatric Services
Practice address
1120 Fairgrove Church Rd
Hickory, NC 28602-9630
Phone
(828) 326-3809
NPI assigned
May 31, 2006
Last updated
Nov 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Pamela Gallagher
Title
VP of Finance
Phone
(828) 326-3800

Specialties & licenses 1

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

Addresses

Primary practice location

1120 Fairgrove Church Rd
Hickory, NC 28602-9630

Mailing address

PO Box 890499
Charlotte, NC 28289-0499
Phone (828) 326-3809

Other names 1

  • CATAWBA VALLEY PSYCHIATRIC SERVICES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040127000109 NC Part B Supplier - Clinic/Group Practice 0547178907 Receives reassigned benefits from 10 practitioners
Practice locations: Hickory, NC

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1120 Fairgrove Church Rd
Ste 12
Hickory, NC 28602
Phone (828) 326-2828

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Catawba Valley Medical CenterHickory, NC, CCN 34S143 Hospital Other Dec 10, 1962

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1497792469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890499",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890499",
            "telephone_number": "828-326-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 FAIRGROVE CHURCH RD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029630",
            "telephone_number": "828-326-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAWBA VALLEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "828-326-3800"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CATAWBA VALLEY PSYCHIATRIC SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CATAWBA VALLEY PSYCHIATRIC SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.