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NORTHEAST PSYCHIATRIC SERVICES
NPI 1063849420
Psychiatry & Neurology - Child & Adolescent Psychiatry in Concord, NC

Active since October 01, 2013CLIA 34D0977725 · Waiver
380 COPPERFIELD BLVD NE, CONCORD, NC 28025(704) 403-1800 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2023, Feb 13, 2023, Jan 18, 2023 and 32 more (35 updates tracked since 2016).

About Northeast Psychiatric Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST PSYCHIATRIC SERVICES (NPI 1063849420) is a healthcare organization registered as a child & adolescent psychiatry in Concord, North Carolina and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through September 2, 2026 and lists Scott Rissmiller, Enterprise Evp, as its authorized official.

NPPES Registry Identity

NPI1063849420
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameTHE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Location Address380 COPPERFIELD BLVD NEConcord, NC 28025-2402
Mailing AddressPo Box 19305Charlotte, NC 28219-9305 · (704) 631-0002
Phone(704) 403-1800
Organization SubpartYes
Authorized OfficialScott RissmillerEnterprise Evp · (704) 355-8675
Enumeration DateOctober 1, 2013
Last NPPES UpdateMarch 9, 202335 updates tracked since enumeration
✔ NPI 1063849420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
380 COPPERFIELD BLVD NE, Concord, NC 28025
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Other Names 2

Doing Business AsNortheast Psychiatric Services
Doing Business AsAtrium Health Behavioral Health Psychiatry & Counseling

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0977725

Chs Behavioral Health Dba Northeast Psychiatric Services · Concord, NC
Active · expires Sep 2, 2026
CLIA Number34D0977725
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2024
Certificate Expiration DateSeptember 2, 2026
Laboratory DirectorLaura Dunn
Laboratory Phone(704) 783-3564
Laboratory LocationChs Behavioral Health Dba Northeast Psychiatric Services380 Copperfield Blvd, Concord, NC 28025
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHARONDA PATRICE RAVENELL LCMHC
Counselor (Mental Health)
380 COPPERFIELD BLVD NE
CONCORD, NC 28025
Cabarrus County (843) 200-7515
KATHRYN ANNE JAY-YOUNG LCSW
Social Worker
380 COPPERFIELD BLVD NE
CONCORD, NC 28025
Cabarrus County (704) 403-1800
ZACHARY JAMES WEIR
Counselor (Professional)
380 COPPERFIELD BLVD NE
CONCORD, NC 28025
Cabarrus County (704) 403-1800
JOHN NORRIS LCSW
Social Worker
380 COPPERFIELD BLVD NE
CONCORD, NC 28025
Cabarrus County (704) 403-1800
TRACI LEIGH SWEETSER LCMHC
Counselor (Professional)
380 COPPERFIELD BLVD NE
CONCORD, NC 28025
Cabarrus County (704) 403-1800
LOUIS DAVID VIAMONTE MD
Psychiatry & Neurology (Psychiatry)
380 COPPERFIELD BLVD NE
CONCORD, NC 28025
Cabarrus County (704) 403-1800
KIM FERGUSON PSYD
Psychologist
380 COPPERFIELD BLVD NE
CONCORD, NC 28025
Cabarrus County (704) 403-1800
STERLING B. HAMMOND LMFT
Marriage & Family Therapist
380 COPPERFIELD BLVD NE
CONCORD, NC 28025
Cabarrus County (704) 403-1800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Charlotte-Mecklenburg Hospital Authority's NPI number?

The NPI number for The Charlotte-Mecklenburg Hospital Authority is 1063849420. It was assigned to this organization in the NPPES registry on October 1, 2013. The provider is doing business as Northeast Psychiatric Services and Atrium Health Behavioral Health Psychiatry & Counseling.

Where is The Charlotte-Mecklenburg Hospital Authority located?

The Charlotte-Mecklenburg Hospital Authority is located at 380 Copperfield Blvd NE, Concord, NC 28025. The listed phone number is (704) 403-1800.

What is The Charlotte-Mecklenburg Hospital Authority's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Does The Charlotte-Mecklenburg Hospital Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0977725) is associated with this NPI, valid through September 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does The Charlotte-Mecklenburg Hospital Authority accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 1 other insurer list The Charlotte-Mecklenburg Hospital Authority as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Charlotte-Mecklenburg Hospital Authority was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.