Cmc-Northeast, Inc. in Concord - Clinical Child & Adolescent
Cmc-Northeast, Inc. - NPI 1750343521
Cmc-Northeast, Inc. is a Clinical Child & Adolescent in Concord, North Carolina. Cmc-Northeast, Inc. practices all healthcare services and medical treatments related to Clinical Child & Adolescent. 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 | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
|
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 Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.
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.
Address: Po Box 2333, Clay, NY
Address: 11541 County Road 1, Fairhope, AL
Address: 5557 Carys Brook Ln, Gloucester, VA
Address: Po Box 2356, Guerneville, CA
Address: 176 Barnwood Dr, Edgewood, KY
Address: 1224 10th St, Coronado, CA
Address: 1259 S Cedar Crest Blvd, Allentown, PA
Address: 1438 W 38th St, Erie, PA
Address: Po Box 491000, Leesburg, FL
Address: 848 W Kings Hwy, Coatesville, PA
Address: 848 W Kings Hwy, Coatesville, PA
Address: 1191 Nw Tahoe Lane, Silverdale, WA
Address: 2022 Fifteenth Avenue, Columbus, GA
Address: 1315 W College Ave, State College, PA
Address: 1146 Opal Ct, Hagerstown, MD