Wakemed Specialists Group, Llc
Developmental - Behavioral Pediatrics
Wakemed Specialists Group, Llc is a Raleigh, North Carolina based Pediatric center with medical specialization in
Developmental - Behavioral Pediatrics. Wakemed Specialists Group, Llc is doing business as
Wakemed Outpatient Behavioral Health.
It is located at
23 Sunnybrook Rd, Raleigh, North Carolina - 27610-1855. They can be contacted on phone at
919-350-7584 and fax number 919-231-0314.
NPI number (Unique professional ID) for Wakemed Specialists Group, Llc is
1245895697 which was assigned by NPPES on 01 May, 2019 and it was last updated on 01 Jul, 2020.
Wakemed Specialists Group, 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:
Wakemed Specialists Group, 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 : | Wakemed Specialists Group, Llc |
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| Other Name : | Wakemed Outpatient Behavioral Health |
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Business Address:
Wakemed Specialists Group, 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 : | 919-350-7584 |
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| Fax Number : | 919-231-0314 |
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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 : | 1245895697 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 01 May, 2019 |
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| Last Updated On : | 01 Jul, 2020 |
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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 DIRECTOR OF FINANCE |
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| Phone Number : | 919-350-6089 |
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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 Wakemed Specialists Group, Llc are as mentioned. Primary taxonomy code for Wakemed Specialists Group, Llc is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 101YM0800X | Counselor Mental Health | No | | |
| 103TB0200X | Psychologist Cognitive & Behavioral | No | | |
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Wakemed Specialists Group, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1245895697 | 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 603949
Charlotte, NC, 28260-3949
United States |
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| Phone Number : | 919-350-0552 |
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| Fax Number : | 919-350-7687 |
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Business Location:
Patients can refer following map for directions to
Wakemed Specialists Group, 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.