ADOLESCENT,CHILD & ADULT PSYCHIATRY (NPI# 1457519514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457519514 |
| Entity Type | Organization |
| Organization Name | ADOLESCENT,CHILD & ADULT PSYCHIATRY |
| Practice Address |
4041 Ed Dr # 108 Raleigh NC 27612-8089 |
| Practice Telephone | 9197838377 |
| Practice Fax Number | 8663478377 |
| Mailing Telephone | 9197838377 |
| Mailing Fax Number | 8663478377 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | DR. SHAHEDA FATIMA MAROOF (PSYCHIATRIST) |
| Authorized Official Telephone | 9197838377 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
28114 | NC | Ambulatory Health Care Facilities |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
28114 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA | 12082 | 01 |
| NC | 8912082 | 05 |
| Street Address |
4041 ED DR # 108 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-8089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760021166 | Uniquelyu Counseling | Clinic/Center | 4808 Cutstone Ct, Raleigh, NC 27610-6622 | 2020-01-02 |
| 1295965473 | Destiny Home, Inc. #2 | Clinic/Center | 1708 Vintage Rd, Raleigh, NC 27610-3187 | 2009-07-21 |
| 1720268568 | Consumer Solutions, LLC | Clinic/Center | 745 Southgate Dr, Raleigh, NC 27610-5978 | 2007-11-09 |
| 1104384445 | Breaking Barriers Wellness and Counseling Pllc | Clinic/Center | 5540 Centerview Dr Ste 200, Raleigh, NC 27606-3386 | 2019-03-06 |
| 1104376896 | Glimmer of Hope Therapy | Clinic/Center | 1013 Bullard Ct, Suite 102, Raleigh, NC 27615-6801 | 2016-10-06 |
| 1669763520 | Wake Psychiatry, Pllc | Clinic/Center | 1500 Sunday Dr, Suite 200, Raleigh, NC 27607-5151 | 2011-04-27 |
| 1518279892 | Triumph LLC | Clinic/Center | 2940 Falstaff Rd, Raleigh, NC 27610-1840 | 2010-07-02 |
| 1982764825 | Dorothea Dix Hospital | Clinic/Center | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139398 | Improved You Services LLC | Clinic/Center | 513 Hydrangea Cir Nw, Concord, NC 28027-7256 | 2020-09-22 |
| 1801413687 | Millennial Services of Nc At Rockingham | Clinic/Center | 510 S Tipton Pl, Reidsville, NC 27320-3039 | 2020-06-29 |
| 1265058234 | Transcendia Health Systems | Clinic/Center | 3618 Wagon Wheel Rd, Rocky Mount, NC 27804-9512 | 2020-06-24 |
| 1235753724 | Lobo Workplace Solutions, Inc. | Clinic/Center | 104 E Club Blvd, Durham, NC 27704-4316 | 2020-06-01 |
| 1265062350 | Dogwood Psychology Center for Children and Families | Clinic/Center | 960 Corporate Dr Ste 111, Hillsborough, NC 27278-8560 | 2020-01-17 |
| 1366080921 | Bridge Builders Counseling Pllc | Clinic/Center | 311 Judges Rd Ste 1e, Wilmington, NC 28405-3654 | 2019-12-13 |
| 1285290403 | Compass Life Skills and Counseling, Pllc | Clinic/Center | 8824 Cliff Cameron Dr Apt 107, Charlotte, NC 28269-0839 | 2019-05-13 |
| 1447722384 | Claudia Shapiro, Lcsw | Clinic/Center | 139 W King St, Hillsborough, NC 27278-2543 | 2018-12-17 |
| 1033698683 | Keron Terrell Artis | Clinic/Center | 1405 Chesnee Dr Nw, Wilson, NC 27896-1523 | 2018-08-13 |
| 1417435710 | Porcelain Dolls of The Carolinas, Inc | Clinic/Center | 5835 Executive Center Dr # 101-i, Charlotte, NC 28212 | 2018-07-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ADOLESCENT,CHILD & ADULT PSYCHIATRY.
| 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.