NC Psychiatric Associates, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

32917 Issued in NC

Legal business name

NC PSYCHIATRIC ASSOCIATES, PLLC

Practice address

3623 Latrobe Dr
Suite #121
Charlotte, NC 28211-4864

Phone

(704) 375-7579

NPI assigned

Jul 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Pamela J. Wright-Etter, MD

Title

Owner

Phone

(704) 375-7579

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Carolina Psychiatric assoc. Former legal business name

Locations

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1518245752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 LATROBE DR",
            "address_2": "SUITE #121",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114864",
            "telephone_number": "704-375-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 LATROBE DR",
            "address_2": "SUITE #121",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114864",
            "telephone_number": "704-375-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC PSYCHIATRIC ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "WRIGHT-ETTER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-375-7579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "32917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "898944C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N32917",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Psychiatric assoc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Psychiatry Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.