CEDAR OAKS CLINIC PLLC
NPI 1184209470
Psychiatry & Neurology - Psychiatry in Wake Forest, NC

NPI Status: Active since March 17, 2021

Contact Information

1748 HERITAGE CENTER DR STE 101
WAKE FOREST, NC
ZIP 27587
Phone: (919) 332-8969

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry
  • Accepts Insurance
  • CLIA Number: 34D2284535
  • CLIA Cert. Type: Other - CLINIC
  • CLIA Exp. Date: 06-25-2027

About CEDAR OAKS CLINIC PLLC

This page provides the complete NPI Profile along with additional information for Cedar Oaks Clinic Pllc, a provider established in Wake Forest, North Carolina operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1184209470 assigned on March 2021. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Cedar Oaks Clinic Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Cedar Oaks Clinic (Clinic)

NPI
1184209470
Provider Name
CEDAR OAKS CLINIC PLLC
Entity Type
Organization
Location Address
1748 HERITAGE CENTER DR STE 101 WAKE FOREST, NC 27587
Location Phone
(919) 332-8969
Mailing Address
1748 HERITAGE CENTER DR STE 101 WAKE FOREST, NC 27587
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-17-2021
Last Update Date
02-01-2022
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A psychiatrist like Cedar Oaks Clinic Pllc are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS
  • Blue Value Bronze Standard | Limited Statewide Doctors - POS
  • Blue Value Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors - POS
  • Blue Value Gold Standard | Limited Statewide Doctors - POS
  • Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors - POS
  • Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Blue Value Silver Standard | Limited Statewide Doctors - POS
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CEDAR OAKS CLINIC

Authorized Official Title
CLINIC
Authorized Official Phone
(919) 529-5920

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2284535
Facility Type
Other - CLINIC
Certificate Effective Date
June 26, 2025
Certificate Expiration Date
June 25, 2027
Laboratory Director
NATASHA DONNELLY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cedar Oaks Clinic Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CEDAR OAKS CLINIC PLLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184209470
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211644018414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 4 + 0 + 1 + 8 + 4 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1184209470 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811648447 MADALYN MILLER
Individual
Recreation Therapist1748 HERITAGE CENTER DR STE 101
WAKE FOREST, NC 27587
(919) 529-5920
1750881983 LAUNIECE D NEWTON AGPCNP-C, PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1748 HERITAGE CENTER DR STE 101
WAKE FOREST, NC 27587
(919) 529-5920
1164156626 KRISTEN HADLEY BAEZ LCMHC-A, MT-BC
Individual
Counselor (Mental Health)1748 HERITAGE CENTER DR STE 101
WAKE FOREST, NC 27587
(919) 529-5920
1205550407 TRACY LEIGH SCHOFIELD PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)1748 HERITAGE CENTER DR STE 101
WAKE FOREST, NC 27587
(919) 529-5920
1346931953 SHARI LYNN SCOTT RN
Individual
Nurse Practitioner (Psychiatric/Mental Health)1748 HERITAGE CENTER DR STE 101
WAKE FOREST, NC 27587
(919) 899-0481
1649955055 JASMINE LEVY NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)1748 HERITAGE CENTER DR STE 101
WAKE FOREST, NC 27587
(919) 529-5920
1528806957 JERUSHA MONROE PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)1748 HERITAGE CENTER DR STE 101
WAKE FOREST, NC 27587
(919) 529-5920
1144595828MS. MARGARET GORIS FNP-BC, MSN(R)
Individual
Nurse Practitioner (Psychiatric/Mental Health)1748 HERITAGE CENTER DR STE 101
WAKE FOREST, NC 27587
(919) 529-5920
1134932247MRS. CAROLINE DOMACK LMFTA
Individual
Marriage & Family Therapist1748 HERITAGE CENTER DR STE 101
WAKE FOREST, NC 27587
(919) 529-5920
1588324636 ASHLEY ANN WOOLDRIK APRN
Individual
Nurse Practitioner (Family)1748 HERITAGE CENTER DR STE 101
WAKE FOREST, NC 27587
(919) 529-5920

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184209470, enumerated in the NPI registry as an "organization" on March 17, 2021

The provider is located at 1748 Heritage Center Dr Ste 101 Wake Forest, Nc 27587 and the phone number is (919) 332-8969

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 34D2284535 for a "other - clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 17, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.