Patricia Wellons Vivian is a Charlotte, North Carolina based psychologist with 41 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:
41+ 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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.