Wakemed Children'S-Pediatric Behavioral Health

LBN: Wake Specialty Physicians, Llc
Wakemed Children'S-Pediatric Behavioral Health is an health care organization with primary practice located at 23 Sunnybrook Rd , Raleigh NC 27610-1855. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as the primary health care specialty. Wake Specialty Physicians, Llc can be contacted via phone (919) 350-8797, or through Jayoussi, Maria via phone (919) 350-0554.

Contact Information

Primary practice address
23 Sunnybrook Rd Raleigh NC 27610-1855
Phone: (919) 350-8797
Fax: (919) 350-7859
Website:
Map and Directions
Authorized official contact:
Name: Jayoussi, Maria
Phone: (919) 350-0554

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X

Profile Details

NPI number 1659934511
LBN Legal business name Wake Specialty Physicians, Llc
DBA Doing business as Wakemed Children'S-Pediatric Behavioral Health
Authorized official Jayoussi, Maria
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2019
Last updated Jul 24th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659934511 NPPES
North Carolina MEDICAID 1942440375

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