CAROLINA BEHAVIORAL MEDICINE, PA
NPI 1891193918
Psychologist in Concord, NC

Active since December 06, 2014
1036 BRANCHVIEW DR, SUITE 201, CONCORD, NC 28025(704) 659-3541(888) 977-3202 Get Directions Write a Review

NPPES record last updated: April 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolina Behavioral Medicine, Pa NPPES

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

CAROLINA BEHAVIORAL MEDICINE, PA (NPI 1891193918) is a healthcare organization registered as a psychologist in Concord, North Carolina and active in the NPI registry since December 2014. The organization lists Richard Cauley Kennerly, Owner, as its authorized official.

NPPES Registry Identity

NPI1891193918
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameCAROLINA BEHAVIORAL MEDICINE, PA
Location Address1036 BRANCHVIEW DR, SUITE 201Concord, NC 28025-2998
Mailing Address366 George W Liles Pkwy Nw, Ste 52Concord, NC 28027-2406 · (704) 659-3541 · Fax (704) 706-2348
Fax(888) 977-3202
Organization SubpartNo
Authorized OfficialRichard Cauley KennerlyOwner · (704) 659-3541
Enumeration DateDecember 6, 2014
Last NPPES UpdateApril 24, 2015
NPI 1891193918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 4561
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1036 BRANCHVIEW DR, Concord, NC 28025

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 2

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

Residential Treatment Facility, Emotionally Disturbed Children
1036 BRANCHVIEW DR, SUITE 201
CONCORD, NC 28025
Counselor (Mental Health)
1036 BRANCHVIEW DR, SUITE 201
CONCORD, NC 28025

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 Carolina Behavioral Medicine, PA's NPI number?

The NPI number for Carolina Behavioral Medicine, PA is 1891193918. It was assigned to this organization in the NPPES registry on December 6, 2014.

Where is Carolina Behavioral Medicine, PA located?

Carolina Behavioral Medicine, PA is located at 1036 Branchview Dr Suite 201, Concord, NC 28025. The listed phone number is (704) 659-3541.

What is Carolina Behavioral Medicine, PA's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Carolina Behavioral Medicine, PA was last updated on April 24, 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.