NPIMap

Organization Active NPI

Outlook Forensic & Behavioral Health

  • Psychiatry Physician
  • Matthews, NC
National Provider Identifier
1669650073
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
OUTLOOK FORENSIC & BEHAVIORAL HEALTH
Practice address
2427 Plantation Center Dr
Matthews, NC 28105-6204
Phone
(704) 841-3886
Fax
(704) 841-3889
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Jonathan Stoudmire, MDNPI 1710959788
Title
President
Phone
(704) 841-3886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2427 Plantation Center Dr
Matthews, NC 28105-6204

Mailing address

2427 Plantation Center Dr
Matthews, NC 28105-6204
Phone (704) 841-3886

National Provider Directory

National Provider Directory
Tax ID family
Outlook Forensic and Behavioral Health5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2427 Plantation Center Dr
Matthews, NC 28105
Phone (704) 841-3886

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1669650073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 PLANTATION CENTER DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056204",
            "telephone_number": "704-841-3886",
            "fax_number": "704-841-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 PLANTATION CENTER DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056204",
            "telephone_number": "704-841-3886",
            "fax_number": "704-841-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTLOOK FORENSIC & BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "STOUDMIRE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-841-3886",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.