Active NPI
Cana Behavioral Health LLC
- Psychiatric/Mental Health Nurse Practitioner
- Holly Springs, NC
National Provider Identifier
1124776109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryNPI 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.