Organization Active NPI

Wilmington Child and Family Psychiatry, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Wilmington, NC
National Provider Identifier
1699567958
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
WILMINGTON CHILD AND FAMILY PSYCHIATRY, PLLC
Practice address
2018 Eastwood Rd Ste 112
Wilmington, NC 28403-7228
Phone
(910) 208-0050
Fax
(603) 255-4690
NPI assigned
May 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Charlotte Regan Fawcett, DONPI 1649807173
Title
Member and Organizer
Phone
(910) 208-0050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

2018 Eastwood Rd Ste 112
Wilmington, NC 28403-7228

Mailing address

2018 Eastwood Rd Ste 112
Wilmington, NC 28403-7228
Phone (910) 208-0050

National Provider Directory

National Provider Directory

Locations

2018 Eastwood Rd
Ste 112
Wilmington, NC 28403
Phone (910) 208-0050

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1699567958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 EASTWOOD RD STE 112",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037228",
            "telephone_number": "910-208-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 EASTWOOD RD STE 112",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037228",
            "telephone_number": "910-208-0050",
            "fax_number": "603-255-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON CHILD AND FAMILY PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "REGAN",
        "authorized_official_title_or_position": "MEMBER AND ORGANIZER",
        "authorized_official_telephone_number": "910-208-0050",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.