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INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES
NPI 1588055685
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Active since February 10, 2015
6201 FAIRVIEW RD, SUITE 200, CHARLOTTE, NC 28210(704) 322-4699(704) 992-9546 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integrated Primary Care And Behavioral Health Services NPPES

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

INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES (NPI 1588055685) is a healthcare organization registered as a psychiatric/mental health in Charlotte, North Carolina and active in the NPI registry since February 2015. The organization lists Tawanda Bostic, Owner, as its authorized official.

NPPES Registry Identity

NPI1588055685
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameINTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES
Location Address6201 FAIRVIEW RD, SUITE 200Charlotte, NC 28210-3289
Mailing Address6201 Fairview Rd, Suite 200Charlotte, NC 28210-3289 · (704) 322-4699 · Fax (704) 992-9546
Phone(704) 322-4699
Fax(704) 992-9546
Organization SubpartNo
Authorized OfficialTawanda BosticOwner · (704) 322-4699
Enumeration DateFebruary 10, 2015
Last NPPES UpdateMarch 30, 2015
✔ NPI 1588055685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 196483
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 196483 (NC)
6201 FAIRVIEW RD, Charlotte, NC 28210
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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

Other Providers at the Same Location NPPES 5

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

ABLE MINDS ABA NC LLC
Community/Behavioral Health
6201 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (516) 526-5027
DR. GEORGE DEMAKIS PH. D.
Clinical Neuropsychologist
6201 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 366-9940
ABLE MINDS ABA NC LLC
Behavior Analyst
6201 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (410) 846-2253
DR. EUGENIA LEE GULLICK PH.D.
Psychologist (Clinical)
6201 FAIRVIEW RD, SUITE #200
CHARLOTTE, NC 28210
Mecklenburg County (704) 366-9940
DR. RICHARD D. MCANULTY PH.D.
Psychologist (Clinical)
6201 FAIRVIEW RD, SUITE 200
CHARLOTTE, NC 28210
Mecklenburg County (704) 687-4783

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 Integrated Primary Care And Behavioral Health Services's NPI number?

The NPI number for Integrated Primary Care And Behavioral Health Services is 1588055685. It was assigned to this organization in the NPPES registry on February 10, 2015.

Where is Integrated Primary Care And Behavioral Health Services located?

Integrated Primary Care And Behavioral Health Services is located at 6201 Fairview Rd Suite 200, Charlotte, NC 28210. The listed phone number is (704) 322-4699.

What is Integrated Primary Care And Behavioral Health Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Integrated Primary Care And Behavioral Health Services was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.