Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolina Behavioral Medicine, PA

Organization Psychologist · NPI 1891193918

Carolina Behavioral Medicine, PA is a Psychologist in Concord, North Carolina. Licensed in North Carolina. Registered with an NPI since 2014.

Licensed in
NC
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1036 Branchview Dr Ste 201
Concord, NC 28025-2998
Phone: (704) 659-3541
Fax: (888) 977-3202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 4561 (NC)

Record details

NPI number1891193918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Kennerly — Owner · (704) 659-3541
NPI enumeratedDecember 6, 2014
Last updated in NPPESApril 24, 2015
Mailing address366 George W Liles Pkwy Nw, Ste 52, Concord, NC 28027-2406

Other providers in Concord