PSYCHIATRIC SERVICES OF CAROLINAS, P.C.
NPI 1710012174
Specialist in Gastonia, NC

Active since February 23, 2007CLIA 34D2039108 · Accreditation
1530 UNION RD STE A, GASTONIA, NC 28054(704) 867-6188(704) 866-4437 Get Directions Write a Review

NPPES record last updated: March 30, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Psychiatric Services Of Carolinas, P.c. NPPES

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

PSYCHIATRIC SERVICES OF CAROLINAS, P.C. (NPI 1710012174) is a healthcare organization registered as a specialist in Gastonia, North Carolina and active in the NPI registry since February 2007. The organization holds an CLIA Accreditation certificate valid through April 15, 2028, maintains a secondary practice location in Shelby, and lists Nilima V Shukla, Owner, as its authorized official.

NPPES Registry Identity

NPI1710012174
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePSYCHIATRIC SERVICES OF CAROLINAS, P.C.
Location Address1530 UNION RD STE AGastonia, NC 28054-2201
Mailing Address1530 Union Rd Ste AGastonia, NC 28054-2201 · (704) 867-6188 · Fax (704) 866-4437
Fax(704) 866-4437
Organization SubpartNo
Authorized OfficialNilima V ShuklaOwner · (704) 867-6188
Enumeration DateFebruary 23, 2007
Last NPPES UpdateMarch 30, 2019
✔ NPI 1710012174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1530 UNION RD STE A, Gastonia, NC 28054

Secondary Practice Location 1

Location 1615 S Dekalb StShelby, NC 28150-6184 · Phone (704) 480-1882 · Fax (704) 480-1832

Other Identifiers 2

Other1088LNC · Blue Cross Blue Shield
Medicaid5911302NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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)

Psychiatric Services Of Carolinas, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Psychiatric Services Of Carolinas, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1053249235
1530 UNION RD STE A
Gastonia, NC 28054
(704) 867-6188
✔ PECOSSame address
Psychiatry
NPI 1922189877
1530 UNION RD STE A
Gastonia, NC 28054
(704) 867-6188
✔ PECOSSame address
Nurse Practitioner
NPI 1699593699
1089 X RAY DR
Gastonia, NC 28054
(828) 707-0409
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1962183160
6060 PIEDMONT ROW DR S STE 500
Charlotte, NC 28287
(855) 501-1004
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1649005950
314 US HIGHWAY 221A
Forest City, NC 28043
(828) 202-3075
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1629805742
111 SW NAITO PKWY
Portland, OR 97204
(888) 316-0451
✔ PECOS✔ Accepts Medicare2,273 mi

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

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 Accreditation 34D2039108

Psychiatric Services Of Carolinas, PC · Gastonia, NC
Active · expires Apr 15, 2028
CLIA Number34D2039108
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorDouglas Raburn
Laboratory Phone(704) 867-6188
Laboratory LocationPsychiatric Services Of Carolinas, PC1530 Union Road, Suite A, Gastonia, NC 28054
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Psychiatric Services Of Carolinas, P.C.'s NPI number?

The NPI number for Psychiatric Services Of Carolinas, P.C. is 1710012174. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Psychiatric Services Of Carolinas, P.C. located?

Psychiatric Services Of Carolinas, P.C. is located at 1530 Union Rd Ste A, Gastonia, NC 28054. The listed phone number is (704) 867-6188.

What is Psychiatric Services Of Carolinas, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Psychiatric Services Of Carolinas, P.C. enrolled in Medicare?

Yes. Psychiatric Services Of Carolinas, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychiatric Services Of Carolinas, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Psychiatric Services Of Carolinas, P.C.. 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 (5) and Psychiatry (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Psychiatric Services Of Carolinas, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D2039108) is associated with this NPI, valid through April 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Psychiatric Services Of Carolinas, P.C. 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 1 other insurer list Psychiatric Services Of Carolinas, P.C. 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 Psychiatric Services Of Carolinas, P.C. was last updated on March 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.