OrganizationActive
Carolina Behavioral Medicine, PA
NPI 1891193918 · Psychologist · Concord, NC
Carolina Behavioral Medicine, PA is a Psychologist organization in Concord, NC (NPI 1891193918).
Provider details
- NPI number
- 1891193918
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Richard Kennerly, Owner(704) 659-3541
- License
- 4561 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% 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
1036 Branchview Dr
Suite 201
Concord, NC 28025-2998
Phone: (704) 659-3541
Fax: (888) 977-3202
Street-level locationGet directions
Mailing address
366 George W Liles Pkwy Nw
Concord, NC 28027-2406
Registry dates
- Enumerated
- 2014-12-06
- Last updated
- 2015-04-24
Frequently asked questions
- What is Carolina Behavioral Medicine, PA's NPI number?
- Carolina Behavioral Medicine, PA's National Provider Identifier (NPI) is 1891193918, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Carolina Behavioral Medicine, PA?
- Carolina Behavioral Medicine, PA is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Carolina Behavioral Medicine, PA located?
- Carolina Behavioral Medicine, PA's practice location on file with NPPES is 1036 Branchview Dr, Concord, NC 28025-2998.
- What is Carolina Behavioral Medicine, PA's phone number?
- The practice phone number listed in the NPPES registry for Carolina Behavioral Medicine, PA is (704) 659-3541.
- Who is the authorized official for Carolina Behavioral Medicine, PA?
- The authorized official listed on Carolina Behavioral Medicine, PA's NPPES record is Richard Kennerly, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Carolina Behavioral Medicine, PA's NPI active?
- Yes — Carolina Behavioral Medicine, PA's NPI (1891193918) is active in the NPPES registry as of the last update on 2015-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.