Organization Active NPI

Transformative Psychiatry PLLC

  • Adult Mental Health Clinic/Center
  • Raleigh, NC
National Provider Identifier
1174409841
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TRANSFORMATIVE PSYCHIATRY PLLC
Practice address
4208 Six Forks Rd Ste 1000
Raleigh, NC 27609-5738
Phone
(919) 341-7182
Fax
(919) 341-7129
NPI assigned
Aug 15, 2025
Last updated
Aug 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Mark Cheltenham, MDNPI 1114027588
Title
Owner
Phone
(919) 855-1152

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4208 Six Forks Rd Ste 1000
Raleigh, NC 27609-5738

Mailing address

4208 Six Forks Rd Ste 1000
Raleigh, NC 27609-5738
Phone (919) 341-7182

Other identifiers 1

IdentifierTypeStateIssuer
1659107559OtherPSYCHIATRY

National Provider Directory

National Provider Directory
Tax ID family
Transformative Psychiatry PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1174409841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 SIX FORKS RD STE 1000",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095738",
            "telephone_number": "919-341-7182",
            "fax_number": "919-341-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 SIX FORKS RD STE 1000",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095738",
            "telephone_number": "919-341-7182",
            "fax_number": "919-341-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIVE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "CHELTENHAM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-855-1152",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRY",
            "identifier": "1659107559",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.