PEDIATRIC AND FAMILY BEHAVIORAL HEALTH ACQUISITION GROUP PLLC
NPI 1770056038
Psychiatry & Neurology - Psychiatry in Charlotte, NC

NPI Status: Active since January 09, 2019

Contact Information

10420 PARK RD STE 300
CHARLOTTE, NC
ZIP 28210
Phone: (980) 237-4766
Fax: (980) 404-2274

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry
  • Accepts Insurance
  • CLIA Number: 34D2282702
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-23-2027

About PEDIATRIC AND FAMILY BEHAVIORAL HEALTH ACQUISITION GROUP PLLC

This page provides the complete NPI Profile along with additional information for Pediatric And Family Behavioral Health Acquisition Group Pllc, a provider established in Charlotte, North Carolina operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1770056038 assigned on January 2019. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated March 2026. Pediatric And Family Behavioral Health Acquisition Group Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Dr. Luis Emilio Betancourt Md (Partner)

NPI
1770056038
Provider Legal Name
PEDIATRIC AND FAMILY BEHAVIORAL HEALTH ACQUISITION GROUP PLLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
10420 PARK RD STE 300 CHARLOTTE, NC 28210
Location Phone
(980) 237-4766
Location Fax
(980) 404-2274
Mailing Address
10440 PARK RD STE 300 CHARLOTTE, NC 28210
Mailing Phone
(980) 237-4766
Mailing Fax
(980) 404-2274
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-09-2019
Last Update Date
03-30-2026
Code Navigator

A psychiatrist like Pediatric And Family Behavioral Health Acquisition Group Pllc are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Location Map

Secondary Locations

  • 331 E Main St Ste 200
    Rock Hill, SC 29730
    (980) 237-4766
  • 10440 Park Rd Ste 300
    Charlotte, NC 28210
    (980) 237-4766
  • 117 Spratt St
    Fort Mill, SC 29715
    (704) 931-1010
  • 122 Clebourne St
    Fort Mill, SC 29715
    (980) 237-4766

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Novant Health - EPO
  • Blue Home Bronze Standard | with Novant Health - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LUIS EMILIO BETANCOURT MD

Authorized Official Title
PARTNER
Authorized Official Phone
(704) 770-7027

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2282702
Facility Type
Physician Office
Certificate Effective Date
May 24, 2025
Certificate Expiration Date
May 23, 2027
Laboratory Director
JAVIER NMN SANTOS-CUBINA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pediatric And Family Behavioral Health Acquisition Group Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PEDIATRIC AND FAMILY BEHAVIORAL HEALTH ACQUISITION GROUP PLLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1770056038, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 4 + 0 + 0 + 5 + 1 + 2 + 0 + 6 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1770056038.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Counselor (Mental Health)
10420 PARK RD STE 300
CHARLOTTE, NC 28210
Physician Assistant
10420 PARK RD STE 300
CHARLOTTE, NC 28210
Physician Assistant
10420 PARK RD STE 300
CHARLOTTE, NC 28210
Nurse Practitioner (Psychiatric/Mental Health)
10420 PARK RD STE 300
CHARLOTTE, NC 28210
Nurse Practitioner (Psychiatric/Mental Health)
10420 PARK RD STE 300
CHARLOTTE, NC 28210
Nurse Practitioner (Psychiatric/Mental Health)
10420 PARK RD STE 300
CHARLOTTE, NC 28210
Social Worker
10420 PARK RD STE 300
CHARLOTTE, NC 28210
Physician Assistant
10420 PARK RD STE 300
CHARLOTTE, NC 28210
Nurse Practitioner (Psychiatric/Mental Health)
10420 PARK RD STE 300
CHARLOTTE, NC 28210
Physician Assistant
10420 PARK RD STE 300
CHARLOTTE, NC 28210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770056038, enumerated as an "organization" on January 09, 2019.

The provider is located at 10420 PARK RD STE 300 CHARLOTTE, NC 28210 and the phone number is (980) 237-4766.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.