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

North Carolina Neuropsychiatry

Organization Clinical Neuropsychologist · NPI 1811204217

North Carolina Neuropsychiatry is a Clinical Neuropsychologist in Charlotte, North Carolina. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
3

Practice location Address checks out

6911 Shannon Willow Rd Ste 400
Charlotte, NC 28226-1350
Phone: (980) 296-2211
Fax: (984) 235-1617
Show map & directions

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

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X
Clinical Neuropsychologist Taxonomy 103G00000X
Psychologist Taxonomy 103T00000X

Record details

NPI number1811204217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Clark — Administrator · (919) 785-5055
NPI enumeratedSeptember 7, 2010
Last updated in NPPESFebruary 23, 2023
Certification dateFebruary 23, 2023
Mailing address6911 Shannon Willow Rd Ste 400, Charlotte, NC 28226-1350

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