CECILIA SUCCOUR FERNANDES MD NPI 1437566718

NPI Information

  • NPI: 1437566718
  • Provider Name: CECILIA SUCCOUR FERNANDES, MD
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1001 BLYTHE BLVD
    CHARLOTTE, NC
    ZIP 28203
  • Phone: (704) 381-1450

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NPI Details

Cecilia Succour Fernandes, MD is a child and adolescent psychiatry psychiatry neurology in Charlotte, NC. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Cecilia Succour Fernandes, MD NPI is 1437566718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1001 BLYTHE BLVD
CHARLOTTE, NC
ZIP 28203-866
Phone: (704) 381-1450

The NPI 1437566718 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2014 and was last updated on 7/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry2017-02100NORTH CAROLINAYes
22084N0400XPsychiatry & NeurologyNeurology2017-02100NORTH CAROLINANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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