Provider Demographics
NPI:1407928674
Name:SALISBURY PSYCHIATRIC ASSOCIATES PC
Entity Type:Organization
Organization Name:SALISBURY PSYCHIATRIC ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHEREKA
Authorized Official - Middle Name:BROWN
Authorized Official - Last Name:CHERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-637-5151
Mailing Address - Street 1:427 W INNES ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-4232
Mailing Address - Country:US
Mailing Address - Phone:704-637-5151
Mailing Address - Fax:704-637-1153
Practice Address - Street 1:427 W INNES ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4232
Practice Address - Country:US
Practice Address - Phone:704-637-5151
Practice Address - Fax:704-637-1153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890120LMedicaid
NC6005117Medicaid