NORTH CAROLINA NEUROPSYCHIATRY (NPI# 1659688059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659688059 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA NEUROPSYCHIATRY |
| Practice Address |
13251 Falls of Neuse Rd Ste 121 Raleigh NC 27614 |
| Mailing Address |
13251 Falls of Neuse Rd Ste 121 Raleigh NC 27614-8573 |
| Practice Telephone | 9197855055 |
| Practice Fax Number | 9195736689 |
| Mailing Telephone | 9197855055 |
| Mailing Fax Number | 9195736689 |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2018-07-18 |
| Authorized Official Name | CAMILLO THOMAS GUALTIERI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9197855055 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE PTAN | 230707 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811204217 | North Carolina Neuropsychiatry | Clinical Neuropsychologist | 6911 Shannon Willow Rd, Suite 100, Charlotte, NC 28226-1346 | 2010-09-07 |
| Street Address |
13251 FALLS OF NEUSE RD STE 121 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396715033 | Courtney Dallas White | Physician Assistant | 13251 Falls of Neuse Rd Ste 121, Raleigh, NC 27614-8573 | 2006-01-25 |
| 1093238123 | Kristen Noelle Grove | Nurse Practitioner | 13251 Falls of Neuse Rd Ste 121, Raleigh, NC 27614 | 2017-07-20 |
| 1891934410 | Lauren Elizabeth Wright | Physician Assistant | 13251 Falls of Neuse Rd Ste 121, Raleigh, NC 27614-8573 | 2009-02-05 |
| 1548293723 | Sharyn M. Comeau | Psychiatry & Neurology | 13251 Falls of Neuse Rd Ste 121, Raleigh, NC 27614-8573 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
| Find all providers in zip 27614 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821366402 | Yvette Figueroa | Psychiatry & Neurology | 3801 Lake Boone Trail, Suite 150, Raleigh, NC 27607 | 2011-12-09 |
| 1245465053 | Herman Aronov Naftel | Psychiatry & Neurology | 107 Sunnybrook Road, Raleigh, NC 27610 | 2009-05-22 |
| 1467676510 | Douglas Michael Conrad | Psychiatry & Neurology | 4505 Fairmeadow Ln, Suite 208, Raleigh, NC 27607-6449 | 2007-04-12 |
| 1346397833 | Hima B Palakurthi | Psychiatry & Neurology | 5904 Norwood Knolls Way, Raleigh, NC 27614-8296 | 2007-01-05 |
| 1427066802 | Laura Earle Horgan | Psychiatry & Neurology | Msc, Raleigh, NC 27699-3601 | 2006-08-03 |
| 1497230775 | Restoration Counseling Center | Psychiatry & Neurology | 5868 Faringdon Pl, Raleigh, NC 27609-3931 | 2018-10-02 |
| 1033582002 | Abdul Khalid, Md, Pa | Psychiatry & Neurology | 312 W Millbrook Rd, Raleigh, NC 27609-4389 | 2015-11-12 |
| 1619292471 | National Mentor Healthcare, LLC | Psychiatry & Neurology | 3125 Poplarwood Ct, Suite 300, Raleigh, NC 27604-1084 | 2010-04-05 |
| 1275742579 | Thomas Matthews Haizlip | Psychiatry & Neurology | 820 S Boylan Ave, Scott Building, Raleigh, NC 27603-2246 | 2007-05-22 |
| 1396950630 | Ellison & Associates of Raleigh PC | Psychiatry & Neurology | 2920 Highwoods Blvd, Suite 127, Raleigh, NC 27604-1015 | 2007-05-11 |
| Find all providers in RALEIGH | ||||
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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.