Wake Specialty Physicians, Llc
Developmental - Behavioral Pediatrics
Wake Specialty Physicians, Llc is a Raleigh, North Carolina based Pediatric center with medical specialization in
Developmental - Behavioral Pediatrics. Wake Specialty Physicians, Llc is doing business as
Wakemed Children's-pediatric Behavioral Health.
It is located at
23 Sunnybrook Rd, Raleigh, North Carolina - 27610-1855. They can be contacted on phone at
919-350-8797 and fax number 919-350-7859.
NPI number (Unique professional ID) for Wake Specialty Physicians, Llc is
1659934511 which was assigned by NPPES on 17 Apr, 2019 and it was last updated on 24 Jul, 2019.
Wake Specialty Physicians, Llc 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.
Complete Profile:
Wake Specialty Physicians, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | Wake Specialty Physicians, Llc |
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| Other Name : | Wakemed Children's-pediatric Behavioral Health |
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Business Address:
Wake Specialty Physicians, Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 23 Sunnybrook Rd
Raleigh, NC, 27610-1855
United States |
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| Phone Number : | 919-350-8797 |
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| Fax Number : | 919-350-7859 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1659934511 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 17 Apr, 2019 |
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| Last Updated On : | 24 Jul, 2019 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Maria Jayoussi |
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| Official Title or Position : | EXECUTIVE VP OF FINANCE |
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| Phone Number : | 919-350-0554 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wake Specialty Physicians, Llc are as mentioned. Primary taxonomy code for Wake Specialty Physicians, Llc is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Wake Specialty Physicians, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1942440375 | MEDICAID | NC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 602195
Charlotte, NC, 28260-2195
United States |
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| Phone Number : | 877-498-4490 |
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| Fax Number : | 919-350-7687 |
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Business Location:
Patients can refer following map for directions to
Wake Specialty Physicians, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.