NPIMap

Organization Active NPI

North Carolina Neuropsychiatry, P.a.

  • Psychiatry Physician
  • Apex, NC
National Provider Identifier
1003432121
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NORTH CAROLINA NEUROPSYCHIATRY, P.A.
Practice address
2080 Energy Dr
Apex, NC 27502-8722
Phone
(919) 328-5573
Fax
(984) 235-1617
NPI assigned
Jun 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Tiffany Clark
Title
Practice Administrator
Phone
(919) 785-5055

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X

Addresses

Primary practice location

2080 Energy Dr
Apex, NC 27502-8722

Mailing address

2080 Energy Dr
Apex, NC 27502-8722
Phone (919) 328-5573

Other identifiers 1

IdentifierTypeStateIssuer
230707MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
North Carolina Neuropsychiatry3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2080 Energy Dr
Apex, NC 27502
Phone (919) 328-5573

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1003432121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 ENERGY DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028722",
            "telephone_number": "919-328-5573",
            "fax_number": "984-235-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 ENERGY DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028722",
            "telephone_number": "919-328-5573",
            "fax_number": "984-235-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA NEUROPSYCHIATRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "919-785-5055"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230707",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.