Provider Demographics
NPI:1467693648
Name:BARIPSYCH
Entity Type:Organization
Organization Name:BARIPSYCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MCCABE
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:704-896-1818
Mailing Address - Street 1:PO BOX 4292
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-4292
Mailing Address - Country:US
Mailing Address - Phone:704-896-1818
Mailing Address - Fax:704-896-1852
Practice Address - Street 1:107 N MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-9402
Practice Address - Country:US
Practice Address - Phone:704-896-1818
Practice Address - Fax:704-896-1852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC707101Y00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty