Organization Active NPI

Cary Psychiatry

  • Psychiatry Physician
  • Cary, NC
National Provider Identifier
1073027033
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0010-04309 Issued in NC
Legal business name
CARY PSYCHIATRY
Practice address
1616 Evans Rd Ste 204
Cary, NC 27513-9653
Phone
(919) 378-9761
Fax
(919) 234-0494
NPI assigned
Nov 28, 2017
Last updated
Nov 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Authorized official

Name
Allison Rose Mikel, MDNPI 1255651246
Title
Medical Director/Psychiatrist
Phone
(919) 378-9761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0010-04309 NC Primary

Addresses

Primary practice location

1616 Evans Rd Ste 204
Cary, NC 27513-9653

Mailing address

1616 Evans Rd Ste 204
Cary, NC 27513-9653
Phone (919) 378-9761

Other identifiers 1

IdentifierTypeStateIssuer
1932548203OtherPHYSICIAN ASSISTANT

National Provider Directory

National Provider Directory

Locations

1616 Evans Rd
Ste 204
Cary, NC 27513
Phone (919) 378-9761

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1073027033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 EVANS RD STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275139653",
            "telephone_number": "919-378-9761",
            "fax_number": "919-234-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 EVANS RD STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275139653",
            "telephone_number": "919-378-9761",
            "fax_number": "919-234-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "MIKEL",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PSYCHIATRIST",
        "authorized_official_telephone_number": "919-378-9761",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "0010-04309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "1932548203",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.