Patricia Wellons Vivian
PHD | Psychologist | 43+ years Exp
6115 Park South Dr, Suite 130, Charlotte
North Carolina, 28210
704-552-0116 704-552-7550
Maps & DirectionsPatricia Wellons Vivian is a Charlotte, North Carolina based psychologist with 43 years of experience in General Psychology. She completed her graduation from University Of Mississippi School Of Medicine in 1983. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Patricia Wellons Vivian is 1438 for General Psychology in North Carolina. Her current practice location is 6115 Park South Dr, Suite 130, Charlotte. Patients can reach her at 704-552-0116 or can fax her at 704-552-7550. Patricia Wellons Vivian is PHD in General Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1528142510.
Patricia Wellons Vivian is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, she performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. She can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Patricia Wellons Vivian speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Patricia Wellons Vivian |
| Specialization: | General Psychology |
| Gender: | Female |
| Credentials: | PHD |
| Experience: | 43+ years |
| Medical School Attended: | University Of Mississippi School Of Medicine |
| Graduation Year: | 1983 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 6115 Park South Dr, Suite 130, Charlotte, North Carolina, 28210 |
| Phone: | 704-552-0116 |
| Fax: | 704-552-7550 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0648432989 |
| Enrollment ID: | I20120502000232 |
| NPI Number: | 1528142510 |
| NPI Enumeration Date: | 25 Oct, 2006 |
| NPI Last Update On: | 02 May, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Patricia Wellons Vivian are as mentioned below.
| License Number | Specialization | State | Status | |
| 1438 | General Psychology | North Carolina | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Patricia Wellons Vivian is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Southeastpsych Ballantyne Pllc (2264708460) | 3 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Patricia Wellons Vivian such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 6000304 | Medicaid | North Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Patricia Wellons Vivian 6115 Park South Dr, Suite 130 Charlotte, North Carolina |
| Zip: | 28210 |
| Phone Number: | 704-552-0116 |
| Fax Number: | 704-552-7550 |
Patients can reach Patricia Wellons Vivian at
6115 Park South Dr, Suite 130, Charlotte, North Carolina or can
call to book an appointment on 704-552-0116.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.