Healthcare Provider Details
I. General information
NPI: 1932376811
Provider Name (Legal Business Name): CHAPEL HILL PSYCHIATRY, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/10/2008
Last Update Date: 05/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
180 PROVIDENCE RD SUITE 5
CHAPEL HILL NC
27514-2206
US
IV. Provider business mailing address
180 PROVIDENCE RD SUITE 5
CHAPEL HILL NC
27514-2206
US
V. Phone/Fax
- Phone: 919-402-8888
- Fax: 919-403-9101
- Phone: 919-402-8888
- Fax: 919-403-9101
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | 93-00276 |
| License Number State | NC |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: DR.
KAREN
MARIE
MUNSAT
Title or Position: PRESIDENT
Credential: MD
Phone: 919-402-8888