NPIMap

Organization Active NPI

Cabarrus Family Medicine

Doing business as Psychologival and Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Concord, NC
National Provider Identifier
1750566832
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CABARRUS FAMILY MEDICINE
Doing business as
Psychologival and Behavioral Health
Practice address
270 Copperfield Blvd NE
Suite 10
Concord, NC 28025-2441
Phone
(704) 721-7430
Fax
(704) 721-7431
NPI assigned
Jan 8, 2008
Last updated
Jan 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Mr. Lynn M Hawkins
Title
Cfo
Phone
(704) 721-2062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

270 Copperfield Blvd NE
Suite 10
Concord, NC 28025-2441

Mailing address

270 Copperfield Blvd NE
Suite 10
Concord, NC 28025-2441
Phone (704) 721-7430

Other identifiers 2

IdentifierTypeStateIssuer
017MTOtherNCBCBS
6005150MedicaidNC

Other names 1

  • Psychologival and Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Locations

234 Yadkin St
Albemarle, NC 28001
Phone (704) 983-1955

5641 Poplar Tent Rd
Concord, NC 28027
Phone (704) 782-1955

220 Dale Earnhardt Blvd
Kannapolis, NC 28081
Phone (704) 721-2092

137 N Highway 49
Richfield, NC 28137
Phone (704) 463-6521

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1750566832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 COPPERFIELD BLVD NE",
            "address_2": "SUITE 10",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252441",
            "telephone_number": "704-721-7430",
            "fax_number": "704-721-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 COPPERFIELD BLVD NE",
            "address_2": "SUITE 10",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252441",
            "telephone_number": "704-721-7430",
            "fax_number": "704-721-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABARRUS FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-721-2062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "017MT",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005150",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychologival and Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.