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Contact Information

CMC-NORTHEAST, INC.
105 YADKIN STREET
SUITE 302
ALBEMARLE, NC28001-3454
 Phone: 704-403-1877
 Fax: 704-986-2150
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Family

103TF0000X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Professional

101YP2500X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CMC NORTHEAST INC · (Female)

NPI # 1184777617
Status Active
Credentials
Entity Individual
Enumeration date 01/19/2007
Last updated 06/01/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 5906956
  • NC Medicaid 6005328
  • NC Medicaid 89015E5
  • NC Other 019G5 BCBS EFF 7-1-07
  • NC Other 019G5 BCBSNC
  • NC Other 355573 MAMSI
  • NC Other 6006579 MEDICAID, EFF 10/27/2008
  • NC Other B948 PARTNERS MEDICARE CHOICE
  • NC Other CC2854 RAILROAD MEDICARE
  • NC Other DF8926 RAILROAD MEDICARE PTAN
  • NC Other 566000156058 TRICARE STANDARD, NON NWK
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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