Different MHP, PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DIFFERENT MHP, PC

Practice address

5960 Fairview Rd Ste 400
Charlotte, NC 28210-3119

Phone

(704) 538-4800

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Desiree Matthews, NPNPI 1356700561

Title

Founder, Lead Clinician

Phone

(844) 325-4647

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Desiree Matthews

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
  • NPI 1356700561
  NPD Authorized official
• Cara Audrey Lutzow, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cary, NC
  • NPI 1588054233
  NPD (past)

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1629850615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103119",
            "telephone_number": "704-538-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIFFERENT MHP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "FOUNDER, LEAD CLINICIAN",
        "authorized_official_telephone_number": "844-325-4647",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Dierkes
• Dietitians Helping Dietitians LLC
• Tina Schmidt Dietrich, MS, RD, LDN
• Alexander Gregory Dietz, DDS
• Tami Graven Dietz, LCSA
• John W Difiore, MD
• Courtney Difranco, MSW, LCSWA
• Kera Tahmara Diggs Brown, SOLE PROPRIETOR
• Kjuana Diggs, HAIR LOSS PRACTITION
• Digital Ultrasound Associates

• Psychiatric/Mental Health Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.