Cheltenham Clinical Services, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

181013 Issued in NC

Legal business name

CHELTENHAM CLINICAL SERVICES, PC

Practice address

2435 Lynn Rd
Suite 200
Raleigh, NC 27612-6755

Phone

(919) 438-7396

NPI assigned

Mar 5, 2012

Last updated

Mar 5, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark Cheltenham, MD

Title

Psychiatrist

Phone

(919) 438-7396

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1003180274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 DODDINGTON DR",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719700",
            "telephone_number": "919-438-7396",
            "fax_number": "919-761-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 LYNN RD",
            "address_2": "SUITE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126755",
            "telephone_number": "919-438-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELTENHAM CLINICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "CHELTENHAM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "919-438-7396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "181013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Patrice Cheek, LCSWA
• William B Cheek, DDS
• Beverly Cheeks, SLP
• George Rayburn Cheely, M.D.
• Cheetham Family Care Home
• Mark Philip Cheltenham, M.D.
• Angie Chen
• Calvin Chen, DMD
• Catherine Chinlih Chen
• CHI-Yuan Chen

• Psychiatry Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.