IMPACT CAROLINA SERVICES
NPI 1629311063
Psychiatry & Neurology - Psychiatry in Gastonia, NC

Q: What is Impact Carolina Services's NPI number?

The NPI number for Impact Carolina Services is 1629311063. It was assigned to this organization in the NPPES registry on April 4, 2013.

Q: What is Impact Carolina Services's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since April 04, 2013

1552 UNION RD, SUITE C, GASTONIA, NC 28054(704) 852-9210(704) 852-9211 Get Directions Write a Review

NPPES record last updated: April 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Impact Carolina Services NPPES

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

IMPACT CAROLINA SERVICES (NPI 1629311063) is a healthcare organization registered as a psychiatry in Gastonia, North Carolina and active in the NPI registry since April 2013. The organization lists Joseph Adedokun, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629311063

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameIMPACT CAROLINA SERVICES

Location Address1552 UNION RD, SUITE CGastonia, NC 28054-5523

Mailing Address1552 Union Rd, Suite CGastonia, NC 28054-5523 · (704) 852-9210 · Fax (704) 852-9211

Phone(704) 852-9210

Fax(704) 852-9211

Organization SubpartNo

Authorized OfficialJoseph AdedokunCeo · (704) 732-2006

Enumeration DateApril 4, 2013

✔ NPI 1629311063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NC · NC 93-00472

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 795 (NC)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License C002728 (NC)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 5004878 (NC)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 5004910 (NC)

1552 UNION RD, Gastonia, NC 28054

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Other Identifiers 8

Medicare UPIN2347954NC

Medicaid5004910NC

Medicaid6003129NC

Medicare UPIN2339728NC

Medicaid6111767NC

Medicaid891036YNC

Medicare UPIN2194712FNC

Medicaid5004878NC

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 9

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

MR. ROBERT SUMMEY III LPC

Counselor

1552 UNION RD, SUITE E
GASTONIA, NC 28054

Gaston County (704) 833-0154

JENNIFER COVINGTON MSW, LCSWA

Social Worker (Clinical)

1552 UNION RD
GASTONIA, NC 28054

Gaston County (704) 833-0154

DR. PUSHPA CHANDER MD

Internal Medicine

1552 UNION RD, SUITE C
GASTONIA, NC 28054

Gaston County (704) 852-9210

CELIA NOE

Marriage & Family Therapist

1552 UNION RD, SUITE E
GASTONIA, NC 28054

Gaston County (704) 833-0154

MS. DENISE RAE WELLS M.A., LPCA, ATR

Counselor

1552 UNION RD, SUITE E
GASTONIA, NC 28054

Gaston County (704) 833-0154

MS. SARAH YUM LMFTA

Counselor (Mental Health)

1552 UNION RD, SUITE E
GASTONIA, NC 28054

Gaston County (704) 833-0154

KRISTY YETMAN

Counselor (Mental Health)

1552 UNION RD
GASTONIA, NC 28054

Gaston County (704) 833-0424

PRISCILLA J KIFER

Counselor

1552 UNION RD, SUITE E
GASTONIA, NC 28054

Gaston County (704) 833-0154

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 Impact Carolina Services's NPI number?

The NPI number for Impact Carolina Services is 1629311063. It was assigned to this organization in the NPPES registry on April 4, 2013.

Where is Impact Carolina Services located?

Impact Carolina Services is located at 1552 Union Rd Suite C, Gastonia, NC 28054. The listed phone number is (704) 852-9210.

What is Impact Carolina Services's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Impact Carolina Services was last updated on April 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.