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NORTH CAROLINA ELDERLY PSYCHIATRIC NPI 1548535107


NPI Information

NPI: 1548535107
Provider Name: NORTH CAROLINA ELDERLY PSYCHIATRIC
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

Address:
606 WADE AVE
RALEIGH, NC
ZIP 27605
Phone: (919) 443-2360
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NORTH CAROLINA ELDERLY PSYCHIATRIC is a geriatric psychiatry psychiatry neurology in Raleigh, NC. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. NORTH CAROLINA ELDERLY PSYCHIATRIC NPI is 1548535107. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

606 WADE AVE
RALEIGH, NC
ZIP 27605-390
Phone: (919) 443-2360
Fax: (919) 800-3039

The provider's authorized official is Stephen B Mangano .
The authorized official title is Chief Operating Officer and has the following contact phone number (919) 443-2360.

The enumeration date for this NPI number is 3/15/2012 and was last updated on 4/18/2012.


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
12084P0805XPsychiatry & NeurologyGeriatric PsychiatryYes

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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