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MAPLEWOOD PSYCHIATRIC ASSOCIATES PA NPI 1417130253


NPI Information

NPI: 1417130253
Provider Name: MAPLEWOOD PSYCHIATRIC ASSOCIATES, PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2830 MAPLEWOOD AVE
SUITE A
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 768-2424
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MAPLEWOOD PSYCHIATRIC ASSOCIATES, PA is a specialist in Winston Salem, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MAPLEWOOD PSYCHIATRIC ASSOCIATES, PA NPI is 1417130253. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2830 MAPLEWOOD AVE
SUITE A
WINSTON SALEM, NC
ZIP 27103-100
Phone: (336) 768-2424
Fax: (336) 768-1857

The provider's authorized official is Ali Jarrahi .
The authorized official title is President and has the following contact phone number (336) 768-2424.

The enumeration date for this NPI number is 12/16/2007 and was last updated on 2/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist16722NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C85181MEDICARE UPINNORTH CAROLINA
28945827MEDICAIDNORTH CAROLINA
3201504MEDICARE PINNORTH CAROLINA
445827OTHERNORTH CAROLINABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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