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

Organization Psychiatry Physician · NPI 1588698559

Southpark Behavioral Medicine Specialists, PA is a Psychiatry Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6845 Fairview Rd
Charlotte, NC 28210-3500
Phone: (704) 442-1655
Fax: (704) 442-9360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Psychiatry Physician (primary) Taxonomy 2084P0805X · Licence 9300426 (NC)
Psychiatry Physician Taxonomy 2084P0800X · Licence 9300426 (NC)

Record details

NPI number1588698559
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Boyer — Owner · (704) 442-1655
NPI enumeratedJuly 10, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address6845 Fairview Rd, Charlotte, NC 28210-3500

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