INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES
NPI 1588055685
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

NPI Status: Active since February 10, 2015

Contact Information

6201 FAIRVIEW RD
SUITE 200
CHARLOTTE, NC
ZIP 28210
Phone: (704) 322-4699
Fax: (704) 992-9546

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Integrated Primary Care And Behavioral Health Services, a provider established in Charlotte, North Carolina operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1588055685 assigned on February 2015. The practitioner's primary taxonomy code is 363LP0808X with license number 196483 (NC). The provider is registered as an organization and their NPI record was last updated 10 years ago. Integrated Primary Care And Behavioral Health Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Tawanda Bostic Dnp,pmhnp-bc, Fnp-bc (Owner)

NPI
1588055685
Provider Name
INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES
Entity Type
Organization
Location Address
6201 FAIRVIEW RD SUITE 200 CHARLOTTE, NC 28210
Location Phone
(704) 322-4699
Location Fax
(704) 992-9546
Mailing Address
6201 FAIRVIEW RD SUITE 200 CHARLOTTE, NC 28210
Mailing Phone
(704) 322-4699
Mailing Fax
(704) 992-9546
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-10-2015
Last Update Date
03-30-2015
Code Navigator

A nurse practitioner (NP) like Integrated Primary Care And Behavioral Health Services is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

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

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
196483
License State
NC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

196483 (NC)

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.

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. TAWANDA BOSTIC DNP,PMHNP-BC, FNP-BC

Authorized Official Title
OWNER
Authorized Official Phone
(704) 322-4699

Reviews for INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588055685
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251680510616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 0 + 5 + 1 + 0 + 6 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1588055685 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700839594DR. RICHARD D. MCANULTY PH.D.
Individual
Psychologist (Clinical)6201 FAIRVIEW RD SUITE 200
CHARLOTTE, NC 28210
(704) 687-4783
1700833258DR. EUGENIA LEE GULLICK PH.D.
Individual
Psychologist (Clinical)6201 FAIRVIEW RD SUITE #200
CHARLOTTE, NC 28210
(704) 366-9940
1386721058DR. GEORGE DEMAKIS PH. D.
Individual
Clinical Neuropsychologist6201 FAIRVIEW RD
CHARLOTTE, NC 28210
(704) 366-9940
1548155658ABLE MINDS ABA NC LLC
Organization
Behavior Analyst6201 FAIRVIEW RD
CHARLOTTE, NC 28210
(410) 846-2253

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588055685, enumerated in the NPI registry as an "organization" on February 10, 2015

The provider is located at 6201 Fairview Rd Suite 200 Charlotte, Nc 28210 and the phone number is (704) 322-4699

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on February 10, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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