Organization Active NPI

Carmel Psychiatric Associates PA

  • Psychoanalyst
  • Charlotte, NC
National Provider Identifier
1942420146
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
39475 Issued in NC
Legal business name
CARMEL PSYCHIATRIC ASSOCIATES PA
Practice address
7301 Carmel Executive Park Dr
Suite 200
Charlotte, NC 28226-8251
Phone
(704) 544-0050
NPI assigned
Apr 27, 2007
Last updated
Jan 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Dr. Vidya Sagar Sethi, M.D.
Title
MD PHD
Phone
(704) 544-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychoanalystGroup: 193400000X SINGLE SPECIALTY GROUP 102L00000X 39475 NC Primary

Addresses

Primary practice location

7301 Carmel Executive Park Dr
Suite 200
Charlotte, NC 28226-8251

Mailing address

7301 Carmel Executive Park
Suite 200
Charlotte, NC 28226-8251
Phone (704) 544-0050

Other identifiers 3

IdentifierTypeStateIssuer
0274GOtherNCBCBS
39475OtherNCLICENSE
7975234MedicaidNC

National Provider Directory

National Provider Directory

Locations

7301 Carmel Executive Park Dr
Ste 200
Charlotte, NC 28226
Phone (704) 544-0050

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1942420146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 CARMEL EXECUTIVE PARK",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268251",
            "telephone_number": "704-544-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 CARMEL EXECUTIVE PARK DR",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268251",
            "telephone_number": "704-544-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEL PSYCHIATRIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "SETHI",
        "authorized_official_first_name": "VIDYA",
        "authorized_official_middle_name": "SAGAR",
        "authorized_official_title_or_position": "MD PHD",
        "authorized_official_telephone_number": "704-544-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychoanalyst",
            "state": "NC",
            "license": "39475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0274G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "39475",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7975234",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.