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

Active since October 01, 2013
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: October 18, 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 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 Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Psychiatric Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,529

Medicare enrollment records show 1,529 clinicians reassign Medicare billing to Northeast Psychiatric Services, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 269 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 51

Nurse Practitioner322
Certified Registered Nurse Anesthetist (CRNA)150
General Surgery110
Internal Medicine84
Hematology/Oncology80
Neurology74
Obstetrics/Gynecology64
Psychiatry60
43 other specialties585

Nearest to this location (20)

See all 1,529
Pravesh Basnet, MD
Psychiatry
NPI 1285969154
380 COPPERFIELD BLVD NE
Concord, NC 28025
(704) 403-1800
✔ PECOS✔ Accepts MedicareSame address
Jay Bhimani, MD
Psychiatry
NPI 1417319229
380 COPPERFIELD BLVD NE
Concord, NC 28025
(704) 403-1800
✔ PECOS✔ Accepts MedicareSame address
Arthur Calloway, DO
Psychiatry
NPI 1881184786
380 COPPERFIELD BLVD NE
Concord, NC 28025
(704) 403-1800
✔ PECOS✔ Accepts MedicareSame address
Robert Dotson, LCMHC
Mental Health Counselor
NPI 1174163786
380 COPPERFIELD BLVD NE
Concord, NC 28025
(704) 403-1800
✔ PECOS✔ Accepts MedicareSame address
Laura Dunn, MD
Psychiatry
NPI 1902876840
380 COPPERFIELD BLVD NE
Concord, NC 28025
(704) 403-1800
✔ PECOS✔ Accepts MedicareSame address
Sterling Hammond, LMFT
Marriage and Family Therapist
NPI 1154575926
380 COPPERFIELD BLVD NE
Concord, NC 28025
(704) 403-1800
✔ PECOS✔ Accepts MedicareSame address
Kathryn Jay-Young, LCSW
Clinical Social Worker
NPI 1033495502
380 COPPERFIELD BLVD NE
Concord, NC 28025
(704) 403-1800
✔ PECOS✔ Accepts MedicareSame address
Lynda Johnson, PHD
Clinical Psychologist
NPI 1942280664
380 COPPERFIELD BLVD NE
Concord, NC 28025
(704) 403-1800
✔ PECOSSame address
Kavita Kothari, MD
Psychiatry
NPI 1528313244
380 COPPERFIELD BLVD NE
Concord, NC 28025
(704) 403-1800
✔ PECOS✔ Accepts MedicareSame address
Roderick Lilly, PHD
Clinical Psychologist
NPI 1992772875
380 COPPERFIELD BLVD NE
Concord, NC 28025
(704) 403-1800
✔ PECOS✔ Accepts MedicareSame address
Jonathan Mckinsey, MD
Psychiatry
NPI 1568433258
380 COPPERFIELD BLVD NE
Concord, NC 28025
(704) 403-1800
✔ PECOS✔ Accepts MedicareSame address
John Norris, LCSW
Clinical Social Worker
NPI 1124095856
380 COPPERFIELD BLVD NE
Concord, NC 28025
(704) 403-1800
✔ PECOSSame address
Michelle Parrom, LMFT
Marriage and Family Therapist
NPI 1356893291
380 COPPERFIELD BLVD NE
Concord, NC 28025
(704) 403-1800
✔ PECOS✔ Accepts MedicareSame address
Sharonda Ravenell, LCMHC
Mental Health Counselor
NPI 1003583741
380 COPPERFIELD BLVD NE
Concord, NC 28025
(843) 200-7515
✔ PECOS✔ Accepts MedicareSame address
Carol Ritchie, LCSW
Clinical Social Worker
NPI 1891762522
380 COPPERFIELD BLVD NE
Concord, NC 28025
(704) 403-1800
✔ PECOS✔ Accepts MedicareSame address
Geoffery Van Waveren, LCSW
Clinical Social Worker
NPI 1750358651
380 COPPERFIELD BLVD NE
Concord, NC 28025
(704) 403-1800
✔ PECOS✔ Accepts MedicareSame address
Louis Viamonte, MD
Psychiatry
NPI 1134416969
380 COPPERFIELD BLVD NE
Concord, NC 28025
(704) 403-1800
✔ PECOSSame address
Zachary Weir
Mental Health Counselor
NPI 1063930576
380 COPPERFIELD BLVD NE
Concord, NC 28025
(704) 403-1800
✔ PECOS✔ Accepts MedicareSame address
Sierra Witte, DO
Psychiatry
NPI 1861874133
380 COPPERFIELD BLVD NE
Concord, NC 28025
(704) 403-1800
✔ PECOS✔ Accepts MedicareSame address
Grant Campbell, MD
Obstetrics/Gynecology
NPI 1437173937
349 PENNY LN
Concord, NC 28025
(704) 786-7158
✔ PECOS✔ Accepts Medicare0.1 mi
See all 1,529 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is The Charlotte-Mecklenburg Hospital Authority enrolled in Medicare?

Yes. The Charlotte-Mecklenburg Hospital Authority is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Charlotte-Mecklenburg Hospital Authority?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,529 clinicians in 51 Medicare specialties reassign their Medicare billing to The Charlotte-Mecklenburg Hospital Authority. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (322), Certified Registered Nurse Anesthetist (CRNA) (150) and General Surgery (110). Of these, 19 practice at this address and 269 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The Charlotte-Mecklenburg Hospital Authority accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 3 other insurers 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.