Southpark Behavioral Medicine Specialists, P.a.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

9300426 Issued in NC

Legal business name

SOUTHPARK BEHAVIORAL MEDICINE SPECIALISTS, P.A.

Practice address

6845 Fairview Rd
Charlotte, NC 28210-3500

Phone

(704) 442-1655

Fax

(704) 442-9360

NPI assigned

Jul 10, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patricia K Boyer, M.D.NPI 1518036227

Title

Owner

Phone

(704) 442-1655

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Patricia K Boyer, MD

  • Geriatric Psychiatry Physician
  • Charlotte, NC
  • NPI 1518036227
  Authorized official Same address or phone

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1588698559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103500",
            "telephone_number": "704-442-1655",
            "fax_number": "704-442-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103500",
            "telephone_number": "704-442-1655",
            "fax_number": "704-442-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPARK BEHAVIORAL MEDICINE SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-442-1655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "9300426",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NC",
            "license": "9300426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7917260",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Southpark Counseling PLLC
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• Southpark Pediatrics, P.a.
• Southpark Psychotherapy PLLC (SouthPark Psychotherapy)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.