Organization Active NPI

Cana Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Holly Springs, NC
National Provider Identifier
1124776109
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CANA BEHAVIORAL HEALTH LLC
Practice address
300 S Main St Ste 212
Holly Springs, NC 27540-4201
Phone
(919) 415-1212
Fax
(919) 415-1216
NPI assigned
Mar 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Lolade A Ogunleye, MSN
Title
Owner of Entity
Phone
(530) 868-6944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

300 S Main St Ste 212
Holly Springs, NC 27540-4201

Mailing address

16165 N 83Rd Ave Ste 200
Peoria, AZ 85382-5816
Phone (919) 415-1212

Other practice location 1

16165 N 83rd Ave Ste 200
Peoria, AZ 85382-5816
Phone (919) 415-1212

Other names 1

  • CANA BEHAVIORAL HEALTH LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1124776109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16165 N 83RD AVE STE 200",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825816",
            "telephone_number": "919-415-1212",
            "fax_number": "919-415-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S MAIN ST STE 212",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275404201",
            "telephone_number": "919-415-1212",
            "fax_number": "919-415-1216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16165 N 83rd Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853825816",
            "country_code": "US",
            "telephone_number": "919-415-1212",
            "fax_number": "919-415-1216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CANA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "OGUNLEYE",
        "authorized_official_first_name": "LOLADE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "530-868-6944",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANA BEHAVIORAL HEALTH LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.