DR. MINA BOAZAK (NPI# 1104209329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104209329 |
| Entity Type | Individual |
| Full Name | DR. MINA BOAZAK |
| Credential | M.D. |
| Practice Address |
823 Broad St Durham NC 27705-4137 |
| Practice Telephone | 9196135949 |
| Mailing Telephone | 9196135949 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2019-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2019-00873 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12 Executive Park Dr Ne Apt 331, Atlanta, GA 303292206 | 4047275157 |
| Street Address |
823 BROAD ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-4137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639731078 | Johanna Alexandra Contreras | Social Worker | 823 Broad St, Durham, NC 27705-4137 | 2019-07-06 |
| 1164981205 | Aliya Hanna Saulson | Social Worker | 823 Broad St, Durham, NC 27705-4137 | 2019-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808096 | Best Day Psychiatry and Counseling, PC | Psychiatry & Neurology | 4905 Pine Cone Dr Ste 9, Durham, NC 27707-5258 | 2020-07-13 |
| 1588030829 | Karen D. Miles, Md, Pllc | Psychiatry & Neurology | 238 Ashton Gln, Durham, NC 27703-9451 | 2015-08-20 |
| 1952721102 | Jessica Rivers Allen | Psychiatry & Neurology | 2232 Page Rd Ste 101, Durham, NC 27703-7724 | 2014-04-25 |
| 1053736538 | Jean Zula | Psychiatry & Neurology | 5500 Hallmark Rd, Durham, NC 27712-2052 | 2014-02-20 |
| 1831432665 | Kim Graham Johnson | Psychiatry & Neurology | 932 Morreene Rd Rm 224, Durham, NC 27705-4410 | 2013-03-29 |
| 1154669844 | Bryon Lee Herbel | Psychiatry & Neurology | 878 Louise Cir, Durham, NC 27705-4491 | 2013-01-30 |
| 1679838809 | Thomas Dew Owens | Psychiatry & Neurology | 3019 Wade Rd, Durham, NC 27705-5630 | 2012-07-13 |
| 1912260498 | Rachel C Poliquin | Psychiatry & Neurology | 3721 University Dr. Suite C, Durham, NC 27707 | 2012-06-20 |
| 1861711582 | Gregory Philip Helton | Psychiatry & Neurology | 3604 Shannon Rd, Ste. 200, Durham, NC 27707-6343 | 2010-05-20 |
| 1811214547 | Krista Ruth Alexander | Psychiatry & Neurology | 3326 Durham Chapel Hill Blvd Ste 230c, Durham, NC 27707-2600 | 2010-04-20 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.