Providence Psychiatric & Behavioral Health Services, Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201021 Issued in NC

Legal business name

PROVIDENCE PSYCHIATRIC & BEHAVIORAL HEALTH SERVICES, INC

Doing business as

Helen B. Hayes,FNP-BC, PMHNP-BC

Practice address

4822 Albemarle Rd
Suite 200
Charlotte, NC 28205-6668

Phone

(704) 907-2934

Fax

(704) 532-5948

NPI assigned

Apr 28, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Helen Bernice Hayes, FNP-BC, PMHNP-BCNPI 1679580278

Title

Nurse Practitioner

Phone

(704) 907-2934

Specialties & licenses 1

Addresses

Other names 1

• Helen B. Hayes,FNP-BC, PMHNP-BC Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Helen Bernice Hayes, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Indian Trail, NC
  • NPI 1679580278
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1367107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1669816021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79254",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282717061",
            "telephone_number": "704-907-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 ALBEMARLE RD",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056668",
            "telephone_number": "704-907-2934",
            "fax_number": "704-532-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE PSYCHIATRIC & BEHAVIORAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-28",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "BERNICE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "704-907-2934",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "201021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Helen B. Hayes,FNP-BC, PMHNP-BC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.