Individual provider Active NPI

Steven Michael Sutherland, M.D.

  • Child & Adolescent Psychiatry Physician
  • Charlotte, NC
National Provider Identifier
1720098213
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
34473 Issued in NC
Practice address
3303 Latrobe Dr
Charlotte, NC 28211-4851
Phone
(704) 362-2663
Fax
(704) 362-2836
NPI assigned
Aug 8, 2006
Last updated
Apr 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 34473 NC Primary

Addresses

Primary practice location

3303 Latrobe Dr
Charlotte, NC 28211-4851

Mailing address

3303 Latrobe Dr
Charlotte, NC 28211-4851
Phone (704) 362-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110511000127 NC Practitioner - Psychiatry 5698769735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
East Tennessee State University Quillen College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eastover Psychological and Psychiatric Group PAGroup PAC ID 4880595933, 4 clinicians

Practice addresses (Care Compare)

3303 Latrobe Dr
Charlotte, NC 28211-4851
Phone (704) 362-2663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eastover Psychological & Psychiatric Group, PA CurrentSince Jun 1, 1991 Accepting new patients

Locations

3303 Latrobe Dr
Charlotte, NC 28211
Phone (704) 362-2663

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1720098213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 LATROBE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114851",
            "telephone_number": "704-362-2663",
            "fax_number": "704-362-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 LATROBE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114851",
            "telephone_number": "704-362-2663",
            "fax_number": "704-362-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "34473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.