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Providence Sisomphou
NPI 1609604974 · Behavior Technician · Concord, NC
Providence Sisomphou is a Behavior Technician provider in Concord, NC (NPI 1609604974).
Provider details
- NPI number
- 1609604974
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Branchview Dr Se Ste 215
Concord, NC 28025-3577
Phone: (704) 780-4271
Street-level locationGet directions
Mailing address
200 Branchview Dr Se Ste 215
Concord, NC 28025-3577
Registry dates
- Enumerated
- 2024-07-26
- Last updated
- 2024-07-26
- Certified
- 2024-07-26
Frequently asked questions
- What is Providence Sisomphou's NPI number?
- Providence Sisomphou's National Provider Identifier (NPI) is 1609604974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Providence Sisomphou's specialty?
- Providence Sisomphou is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Providence Sisomphou located?
- Providence Sisomphou's practice location on file with NPPES is 200 Branchview Dr Se Ste 215, Concord, NC 28025-3577.
- What is Providence Sisomphou's phone number?
- The practice phone number listed in the NPPES registry for Providence Sisomphou is (704) 780-4271.
- Is Providence Sisomphou's NPI active?
- Yes — Providence Sisomphou's NPI (1609604974) is active in the NPPES registry as of the last update on 2024-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.