Cmc-Northeast, Inc. in Concord - Psychologist
Cmc-Northeast, Inc. - NPI 1750343521
Cmc-Northeast, Inc. is a Psychologist in Concord, North Carolina. Cmc-Northeast, Inc. practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Cmc-Northeast, Inc. is 1750343521. The last update date is 2012-06-01.
Cmc-Northeast, Inc.'s current location address is 380 Copperfield Blvd Ne, Concord, North Carolina. You can contact this provider via phone number 7044031800 and fax number 7044031836. The mailing address for Cmc-Northeast, Inc. is 380 Copperfield Blvd Ne, Concord, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cmc-Northeast, Inc. |
|---|---|
| Address | 380 Copperfield Blvd Ne, Concord, North Carolina |
| Phone Number | 7044031800 |
| Fax Number | 7044031836 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP PHYSICI |
|---|---|
| Authorized Official Name | Lowder M Frieda |
| Telephone Number | 7044034146 |
NPI Number Detail
| NPI Number | 1750343521 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2012-06-01 |
Provider Mailing Address Detail
| Address | 380 Copperfield Blvd Ne |
|---|---|
| City | Concord |
| State | North Carolina (NC) |
| Post Code | 280252402 |
| Phone Number | 7044031800 |
| Fax Number | 7044031836 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 019G5 | NC | BCBSNC | |
| 355573 | NC | MAMSI | |
| 566000156021 | NC | TRICARE STANDARD, NON NWK | |
| B948 | NC | PARTNERS MEDICARE CHOICE | |
| 019G5 | NC | BCBS EFF 7-1-07 | |
| 5907156 | NC | -- | |
| 6005328 | NC | -- | |
| 890240Y | NC | -- | |
| CC2854 | NC | RAILROAD MEDICARE | |
| DF8926 | NC | RAILROAD MEDICARE PTAN |
Post Comment/ Review Below
What is the Cmc-Northeast, Inc.'s unique identification number?
The Cmc-Northeast, Inc. has been assigned the NPI (National Provider Identifier) Number 1750343521 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Cmc-Northeast, Inc. is located?
The Cmc-Northeast, Inc. is situated at the following address: 380 Copperfield Blvd Ne, Concord, NC, 280252402.
What is Cmc-Northeast, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Cmc-Northeast, Inc.'s specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Cmc-Northeast, Inc. receive its 1750343521 assignment from the Centers for Medicare & Medicaid Services?
The Cmc-Northeast, Inc. was assigned its 1750343521 by the Centers for Medicare & Medicaid Services on 2006-04-05.
As of what date were the details related to Cmc-Northeast, Inc. most recently updated or revised?
The information pertaining to Cmc-Northeast, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2012-06-01.
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