NPIMap

Organization Active NPI

Patterson Psych Group, PLLC

  • Mental Health Counselor
  • Gastonia, NC
National Provider Identifier
1831555283
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7176 Issued in NC
Legal business name
PATTERSON PSYCH GROUP, PLLC
Practice address
1554 Union Rd Ste C
Suite 5
Gastonia, NC 28054-5581
Phone
(704) 675-0470
Fax
(855) 309-6535
NPI assigned
Jan 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Erin Bagwell Patterson, MA, ED. S., LPCSNPI 1861640500
Title
Owner/Lead Clinician
Phone
(704) 675-0470

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 7176 NC Primary

Addresses

Primary practice location

1554 Union Rd Ste C
Suite 5
Gastonia, NC 28054-5581

Mailing address

1051 R P C Rd
Fort Mill, SC 29708-8015
Phone (704) 675-0470

Other identifiers 1

IdentifierTypeStateIssuer
1861640500OtherNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1831555283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 R P C RD",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088015",
            "telephone_number": "704-675-0470",
            "fax_number": "866-309-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 UNION RD STE C",
            "address_2": "SUITE 5",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545581",
            "telephone_number": "704-675-0470",
            "fax_number": "855-309-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSON PSYCH GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "BAGWELL",
        "authorized_official_title_or_position": "OWNER/LEAD CLINICIAN",
        "authorized_official_telephone_number": "704-675-0470",
        "authorized_official_credential": "MA, ED. S., LPCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861640500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.