WAKEMED OUTPATIENT BEHAVIORAL HEALTH
NPI 1245895697
Pediatrics - Developmental - Behavioral Pediatrics in Raleigh, NC
NPI Status: Active since May 01, 2019
Contact Information
23 SUNNYBROOK RD
RALEIGH, NC
ZIP 27610
Phone: (919) 350-7584
Fax: (919) 231-0314
- Organization
- Pediatrics
- Developmental - Behavioral Pediatrics
- Accepts Insurance
About WAKEMED OUTPATIENT BEHAVIORAL HEALTH
This page provides the complete NPI Profile along with additional information for Wakemed Outpatient Behavioral Health, a pediatrician established in Raleigh, North Carolina operating as a Pediatrics, focusing in developmental - behavioral pediatrics . The healthcare provider is registered in the NPI registry with number 1245895697 assigned on May 2019. The practitioner's primary taxonomy code is 2080P0006X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Wakemed Outpatient Behavioral Health operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Wakemed Outpatient Behavioral Health. The authorized official of this NPI record is Maria Jayoussi (Executive Director Of Finance)
- NPI
- 1245895697
- Provider Legal Name
- WAKEMED SPECIALISTS GROUP, LLC
- Other Organization Name
- WAKEMED OUTPATIENT BEHAVIORAL HEALTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 23 SUNNYBROOK RD RALEIGH, NC 27610
- Location Phone
- (919) 350-7584
- Location Fax
- (919) 231-0314
- Mailing Address
- PO BOX 603949 CHARLOTTE, NC 28260
- Mailing Phone
- (919) 350-0552
- Mailing Fax
- (919) 231-0314
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-01-2019
- Last Update Date
- 07-01-2020
- Code Navigator
A pediatrician like Wakemed Outpatient Behavioral Health is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
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
Pediatrics Developmental - Behavioral Pediatrics
- Taxonomy Code
- 2080P0006X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
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) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist |
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:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- 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
- 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
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1245895697 | MEDICAID (05) | NC |
Reviews for WAKEMED OUTPATIENT BEHAVIORAL HEALTH
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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. | |||||||||
| 1 | 2 | 4 | 5 | 8 | 9 | 5 | 6 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 16 | 9 | 10 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 6 + 9 + 1 + 0 + 6 + 1 + 8 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1245895697 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1386648756 | DR. JAMES A SCOVIL M.D. Individual | Legal Medicine | 23 SUNNYBROOK RD STE 109 RALEIGH, NC 27610 (919) 212-1959 |
| 1114984077 | LITASHA WILSON Individual | Social Worker (Clinical) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 212-3011 |
| 1154366201 | DAVID JAMES RATHVON PA-C Individual | Physician Assistant (Medical) | 23 SUNNYBROOK RD SUITE 145 RALEIGH, NC 27610 (919) 231-3966 |
| 1215052352 | MS. JENNIFER A AVAKIAN C.P.O. Individual | Prosthetist | 23 SUNNYBROOK RD STE. 185 RALEIGH, NC 27610 (919) 231-3132 |
| 1922194000 | DR. SELAM BULLOCK MD Individual | Pediatrics | 23 SUNNYBROOK RD SUITE 116 RALEIGH, NC 27610 (919) 250-3478 |
| 1427469444 | WAKE SPECIALTY PHYSICIANS, LLC Organization | Urology | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 350-0554 |
| 1245634823 | MRS. LAURA JUNE OATES PNP Individual | Nurse Practitioner (Pediatrics) | 23 SUNNYBROOK RD SUITE116 RALEIGH, NC 27610 (919) 250-3478 |
| 1518378553 | WAKE SPECIALTY PHYSICIANS, LLC Organization | Pediatrics (Pediatric Endocrinology) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 350-7584 |
| 1467863480 | WAKE SPECIALTY PHYSICIANS, LLC Organization | Surgery (Surgical Critical Care) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 350-8797 |
| 1740680222 | WAKE SPECIALTY PHYSICIANS, LLC Organization | Pediatrics (Pediatric Gastroenterology) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 235-6435 |
| 1710434691 | WAKE SPECIALTY PHYSICIANS LLC Organization | Pediatrics (Obesity Medicine) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 350-6439 |
| 1568958866 | ALLISON SHARP MCDOUGAL MS, RDN, LDN Individual | Dietitian, Registered | 23 SUNNYBROOK RD RALEIGH, NC 27610 (870) 904-7138 |
| 1659934511 | WAKE SPECIALTY PHYSICIANS, LLC Organization | Pediatrics (Developmental - Behavioral Pediatrics) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 350-8797 |
| 1336704766 | WAKEMED SPECIALISTS GROUP, LLC Organization | Pediatrics (Pediatric Gastroenterology) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 235-6435 |
| 1265097695 | WAKEMED SPECIALISTS GROUP, LLC Organization | Pediatrics (Pediatric Endocrinology) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 350-7584 |
| 1982269346 | WAKEMED SPECIALISTS GROUP, LLC Organization | Surgery (Pediatric Surgery) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 350-8797 |
| 1962067314 | WAKEMED SPECIALISTS GROUP, LLC Organization | Pediatrics (Obesity Medicine) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 235-6439 |
| 1497307334 | WAKEMED SPECIALISTS GROUP LLC Organization | Pediatrics (Pediatric Pulmonology) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 235-6435 |
| 1548643117 | ROSANNA DE LA ROSA LPC Individual | Counselor (Mental Health) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 264-3479 |
| 1861030371 | MRS. MACON LOUISE CORNICK GUIDRY RDN, LDN Individual | Dietitian, Registered | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 235-6439 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245895697, enumerated in the NPI registry as an "organization" on May 01, 2019
The provider is located at 23 Sunnybrook Rd Raleigh, Nc 27610 and the phone number is (919) 350-7584
This medical organization specializes in Pediatrics with taxonomy code 2080P0006X with a focus in Developmental - Behavioral Pediatrics
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 01, 2019. 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].
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