ALTAVERA BEHAVIORAL HEALTH PC – NPI #1174465702
Psychiatry & Neurology

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

ALTAVERA BEHAVIORAL HEALTH PC is a psychiatry & neurologist located in CONCORD, NC. NPPES recently assigned the NPI number 1174465702 to ALTAVERA BEHAVIORAL HEALTH PC on April 06, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084P0802X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Psychiatry

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 ALTAVERA BEHAVIORAL HEALTH PC below.

NPI Profile for
ALTAVERA BEHAVIORAL HEALTH PC

NPI Number
1174465702
Enumeration Date

(about 2 months 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
ALTAVERA BEHAVIORAL HEALTH PC
Primary location
432 COPPERFIELD BLVD NE STE 200
CONCORD, NC 28025-2427
Phone: (704) 906-9573 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JONATHAN STOUDMIRE
MEDICAL DIRECTOR
Phone: (704) 699-5296
Updated
Certification Date
Apr 06, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2084P0802X
- Psychiatry & Neurology / Addiction Psychiatry (Primary)

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.