Southeastern Psychiatric Providers, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SOUTHEASTERN PSYCHIATRIC PROVIDERS, LLC

Practice address

2050 Mercantile Dr Apt C9
Leland, NC 28451-4053

Phone

(910) 370-2500

NPI assigned

Mar 29, 2018

Last updated

Mar 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin Donaldson, PA-C

Title

Owner/Authorized

Phone

(408) 364-6160

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1811492853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3516",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284060516",
            "telephone_number": "408-364-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 MERCANTILE DR APT C9",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514053",
            "telephone_number": "910-370-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN PSYCHIATRIC PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED",
        "authorized_official_telephone_number": "408-364-6160",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Allen Snow, PA
• Arrian Baker Snowten, FNP
• Sophia Sober
• Jennifer Sobol, LMHC, LPC, LCMHC
• Southeastern Healthcare Centers PC
• Kathryn Leigh Spivey
• Heidi B Stewart, LCSW
• Michelle Rose Stine, PT
• Strategic Physicians LLC
• Strive Counseling & Wellness, PLLC

• Psychiatry Physician in Leland, NC
• Providers in Leland, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.