Safe Haven Psychiatrics PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SAFE HAVEN PSYCHIATRICS PLLC

Practice address

3719 Latrobe Dr Ste 850B
Charlotte, NC 28211-4827

Phone

(980) 445-8063

NPI assigned

Dec 9, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Kim Renae English, FNP, PMHNP-BCNPI 1659476240

Title

Psychiatric Nurse Practitioner

Phone

(980) 445-8063

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Kim Renae English, MSN, FNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
  • NPI 1659476240
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1851002901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9338 AMES HOLLOW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168787",
            "telephone_number": "980-445-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 LATROBE DR STE 850B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114827",
            "telephone_number": "980-445-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN PSYCHIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "ENGLISH",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "980-445-8063",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safe at Home Care, LLC
• Safe Haven Child and Family Counseling Services,LLC
• Safe Haven Family Abuse Center
• Safe Haven Family Practice, PLLC
• Safe Haven Home for Girls, PLLC
• Safe Havens Home Health LLC
• Safe Rides Inc
• Safe Spaces Heal, LLC
• Safe Wait Transportation LLC
• Safehaven Family Service LLC

• Psychiatric/Mental Health Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.