Wake Psychological Associates PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

WAKE PSYCHOLOGICAL ASSOCIATES PLLC

Practice address

515 Keisler Dr Ste 101
Cary, NC 27518-7097

Phone

(919) 590-9937

NPI assigned

Jul 2, 2024

Organization subpart

No

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

Authorized official

Name

Whitney EdwardsNPI 1457646986

Title

Owner

Phone

(919) 590-9937

Specialties & licenses 1

Addresses

Practitioners 1

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

• Whitney Edwards

  • Psychologist
  • Cary, NC
  • NPI 1457646986
  NPD Authorized official

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1124864723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 FORDLAND DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276064476",
            "telephone_number": "919-602-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 KEISLER DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187097",
            "telephone_number": "919-590-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE PSYCHOLOGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-590-9937"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wake Specialty Physicians LLC

• All providers in Cary, NC
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.