Providence Behavioral Health PA

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

PROVIDENCE BEHAVIORAL HEALTH PA

Practice address

8029 Corporate Center Dr
Suite 200
Charlotte, NC 28226-4547

Phone

(704) 543-7574

NPI assigned

Feb 3, 2012

Organization subpart

Yes

Parent organization

PROVIDENCE BEHAVIORAL HEALTH PAAs reported in NPPES

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

Authorized official

Name

Dr. Preetinder Brar, MD

Title

President

Phone

(704) 543-7574

Specialties & licenses 1

Addresses

Part of

Providence Behavioral Health PA

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Providence Behavioral Health

  • Behavior Analyst
  • Charlotte, NC
  • NPI 1356682355
  NPPES parent name

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1578835674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8029 CORPORATE CENTER DR",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264547",
            "telephone_number": "704-543-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE BEHAVIORAL HEALTH PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE BEHAVIORAL HEALTH PA",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "PREETINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-543-7574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Protected Space Therapy, PLLC
• Providastaff, LLC
• Providence Anesthesiology Associates, P.a.
• Providence Anesthesiology Associates, P.a.
• Providence Behavioral Health
• Providence Counseling & Training, Inc.
• Providence Eye and Laser Specialists, PC
• Providence Family Psychiatry
• Providence Health Center
• Providence Pediatrics

• Non-Pharmacy Dispensing Site in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Non-Pharmacy Dispensing Site in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.