Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Southpark Behavioral Medicine Specialists, PA

Organization Psychiatry Physician · NPI 1588698559

Southpark Behavioral Medicine Specialists, PA provides Psychiatry Physician services 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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