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 provides Psychologist services 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.

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Practice location Address checks out

1036 Branchview Dr Ste 201
Concord, NC 28025-2998 Not confirmed with CMS for 11 years — call before visiting
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