Lake Norman Child and Adolescent Psychiatry

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

2010-00723 Issued in NC

Legal business name

LAKE NORMAN CHILD AND ADOLESCENT PSYCHIATRY

Practice address

223 Williamson Rd
Suite 103
Mooresville, NC 28117-8198

Phone

(704) 660-5686

Fax

(704) 696-1027

NPI assigned

Jun 7, 2010

Last updated

Jun 30, 2010By 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

Dr. Christopher Fox, D.O.

Title

Psychiatrist

Phone

(440) 666-8136

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1871813352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 WILLIAMSON RD",
            "address_2": "SUITE 103",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178198",
            "telephone_number": "704-660-5686",
            "fax_number": "704-696-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WILLIAMSON RD",
            "address_2": "SUITE 103",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178198",
            "telephone_number": "704-660-5686",
            "fax_number": "704-696-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NORMAN CHILD AND ADOLESCENT PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "440-666-8136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2010-00723",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "2010-00723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lake Norman Cosmetic and Restorative Dentistry

• Child & Adolescent Psychiatry Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Child & Adolescent Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.