MEDICARE: CENTER FOR EMOTIONAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0802X	Addiction Psychiatry Physician	200500827	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174922348
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR EMOTIONAL HEALTH

Provider Business Mailing Address
First Line	:	280 EXECUTIVE PARK DR STE 100
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-1838
Country	:	US
Telephone Number	:	704-237-4240
Fax Number	:	704-841-3889

Provider Business Practice Location Address
First Line	:	640 SUMMIT CROSS PLACE
Second Line	:	SUITE 203
City	:	GASTONIA
State	:	NC
Zip	:	28054
Country	:	US
Telephone Number	:	704-237-4240
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. JONATHAN K STOUDMIRE
Credential	:	M.D.
Telephone Number	:	704-237-4240

Provider Enumeration Date	:	08/14/2014
Last Update Date	:	09/24/2021

Similar Medicare Providers

1053045542 — MADELINE RUTH GOULD JD, MSW, LCSWA
Practice Location Address:

640 SUMMIT CROSS PLACE , SUITE 203
GASTONIA, NC
28054

Practice Phone: 704-237-4240
Practice Fax:

1104767805 — KARA DYER
Practice Location Address:

1065 BOLIVIA DR
GASTONIA, NC
28054-4312

Practice Phone: 412-509-0643
Practice Fax:

1225388796 — DR. MARVIN ALLEN PHARMD.
Practice Location Address:

2432 CHINKAPIN CT
GASTONIA, NC
28054-3870

Practice Phone: 980-322-4110
Practice Fax:

1154376028 — EMERALD CARE LLC
Practice Location Address:

1050 XRAY DRIVE
GASTONIA, NC
28054-7488

Practice Phone: 704-867-1141
Practice Fax: 704-864-3673

1063693182 — EMAD FOUAD MASSOUD MALAK M.D.
Practice Location Address:

2555 COURT DR
GASTONIA, NC
28054-2134

Practice Phone: 704-834-4390
Practice Fax: 704-834-3274

1205671286 — MISS ALEXANDRIA NICOLE STANTON PA-C
Practice Location Address:

920 COX RD STE 201
GASTONIA, NC
28054-3435

Practice Phone: 704-864-8302
Practice Fax: 704-864-0228

Directions to “CENTER FOR EMOTIONAL HEALTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.