Wakemed Outpatient Behavioral Health
LBN: Wakemed Specialists Group, Llc
Wakemed Outpatient Behavioral Health is an health care organization with primary practice located at 23 Sunnybrook Rd , Raleigh NC 27610-1855. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is the primary health care specialty.
Wakemed Specialists Group, Llc can be contacted via phone (919) 350-7584, or through Jayoussi, Maria via phone (919) 350-6089.
Contact Information
Primary practice address
23 Sunnybrook Rd
Raleigh NC 27610-1855
Phone: (919) 350-7584
Fax: (919) 231-0314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | ||
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X |
Profile Details
| NPI number | 1245895697 |
|---|---|
| LBN Legal business name | Wakemed Specialists Group, Llc |
| DBA Doing business as | Wakemed Outpatient Behavioral Health |
| Authorized official | Jayoussi, Maria |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 1st, 2019 |
| Last updated | Jul 1st, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245895697 | NPPES |
| North Carolina | MEDICAID | 1245895697 |
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