PSYCHOTHERAPEUTIC SERVICES – NPI #1174666960
Psychiatry & Neurology

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.

PSYCHOTHERAPEUTIC SERVICES is a psychiatry & neurologist located in BURLINGTON, NC. NPPES has assigned the NPI number 1174666960 to PSYCHOTHERAPEUTIC SERVICES on February 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 10 years ago on Oct 18, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PSYCHOTHERAPEUTIC SERVICES below.

NPI Profile for
PSYCHOTHERAPEUTIC SERVICES

NPI Number
1174666960
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PSYCHOTHERAPEUTIC SERVICES
Primary location
2260 S. CHURCH ST
SUITE 303
BURLINGTON, NC 27215
Phone: (336) 538-6990 Fax: (336) 538-6991
Mailing address
2260 S CHURCH ST
SUITE 303
BURLINGTON, NC 27215
Phone: (410) 778-9114 Fax: (410) 778-7988
Organization Subpart
No
Authorized Official
MARCIA CLENDANIEL
BILLING MANAGER
Phone: (410) 810-2465
Updated
Identifiers

Identifiers for PSYCHOTHERAPEUTIC SERVICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERINTENSIVE IN HOMENC8300588H
MEDICAIDNC8300588
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)
NC

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.