North Carolina Neuropsychiatry
Counselor Clinic
6911 Shannon Willow Rd Ste 400, Charlotte
North Carolina, 28226-1350
980-296-2211 984-235-1617
Maps & DirectionsNorth Carolina Neuropsychiatry is a Counselor Clinic in Charlotte, North Carolina. It is located at 6911 Shannon Willow Rd Ste 400, Charlotte, NC and its contact number is 980-296-2211. The authorized person for North Carolina Neuropsychiatry is Tiffany Clark
who is Administrator of the clinic and his/her contact number is 919-785-5055.
North Carolina Neuropsychiatry Clinic has individuals who are licensure in clinical psychology and has done specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology. Neuropsychology is a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Complete Clinic Profile:
North Carolina Neuropsychiatry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | North Carolina Neuropsychiatry |
| Specialization: | Clinical Neuropsychologist |
| Clinic Address: | 6911 Shannon Willow Rd Ste 400, Charlotte,
North Carolina, 28226-1350 |
| Phone: | 980-296-2211 |
| Fax: | 984-235-1617 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Tiffany Clark |
| Position: | Administrator |
| Contact Number: | 919-785-5055 |
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 for North Carolina Neuropsychiatry clinic are as mentioned below.
| NPI Number: | 1811204217 |
| NPI Enumeration Date: | 07 Sep, 2010 |
| NPI Last Update On: | 23 Feb, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for North Carolina Neuropsychiatry are as mentioned below.
| Specialization | License Number | State | Status | |
| Child & Adolescent Psychiatry | | | Primary | |
| Clinical Neuropsychologist | | | Secondary | |
| Psychologist | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 230737 | Other | North Carolina | Medicare Ptan |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | North Carolina Neuropsychiatry
6911 Shannon Willow Rd Ste 400,
Charlotte, North Carolina |
| Zip: | 28226-1350 |
| Phone Number: | 980-296-2211 |
| Fax Number: | 984-235-1617 |
Patients can reach North Carolina Neuropsychiatry at
6911 Shannon Willow Rd Ste 400, Charlotte, North Carolina or can
call to book an appointment on 980-296-2211.
*
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.