Provider Demographics
NPI:1942420146
Name:CARMEL PSYCHIATRIC ASSOCIATES PA
Entity Type:Organization
Organization Name:CARMEL PSYCHIATRIC ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD PHD
Authorized Official - Prefix:DR
Authorized Official - First Name:VIDYA
Authorized Official - Middle Name:SAGAR
Authorized Official - Last Name:SETHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-544-0050
Mailing Address - Street 1:7301 CARMEL EXECUTIVE PARK
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-8251
Mailing Address - Country:US
Mailing Address - Phone:704-544-0050
Mailing Address - Fax:
Practice Address - Street 1:7301 CARMEL EXECUTIVE PARK DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-8251
Practice Address - Country:US
Practice Address - Phone:704-544-0050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC39475102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0274GOtherBCBS
NC39475OtherLICENSE
NC7975234Medicaid
NC0274GOtherBCBS
NCE76870Medicare UPIN