DURHAM AREACORP NPI 1063591378

NPI Information

  • NPI: 1063591378
  • Provider Name: DURHAM AREACORP
  • Classification: Pediatrics - 2080P0006X
  • Specialization: Developmental - Behavioral Pediatrics
  • Entity Type: Organization
  • :
  • Address: 2611 BROAD ST
    DURHAM, NC
    ZIP 27704
  • Phone: (919) 358-7296

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NPI Details

DURHAM AREACORP is a developmental - behavioral pediatrics pediatrics in Durham, NC. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. DURHAM AREACORP NPI is 1063591378. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

2611 BROAD ST
DURHAM, NC
ZIP 27704-009
Phone: (919) 358-7296
Fax: (919) 287-2869

The provider's authorized official is Anita Vass .
The authorized official title is Program Manager and has the following contact phone number (919) 358-7296.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 9/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistNo
22080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18300121MEDICAIDNORTH CAROLINA

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: 11/21/2025

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