Cornerstone Behavioral Health

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CORNERSTONE BEHAVIORAL HEALTH

Practice address

555 Fayetteville St Ste 201
Raleigh, NC 27601-3034

Phone

(201) 463-0017

NPI assigned

Jan 3, 2024

Organization subpart

No

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

Authorized official

Name

Lori Jackson-Bogle, PA-CNPI 1952739518

Title

Ceo

Phone

(201) 463-0017

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

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

• Lori Jackson-Bogle, P.A.

  • Physician Assistant
  • San Antonio, TX
  • NPI 1952739518

  NC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1255101028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 FAYETTEVILLE ST STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276013034",
            "telephone_number": "201-463-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FAYETTEVILLE ST STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276013034",
            "telephone_number": "201-463-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON-BOGLE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-463-0017",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zacharie Cormier, L.AC.
• Lisa Corn
• Melodee Angela Corne, CNM
• Cinthia Y. Cornejo, LMCHCA
• Janine Elise Cornell, OT
• Cornerstone Caregiving East LLC
• Cornerstone Caregiving East LLC
• Cornerstone Counseling and Wellness PLLC
• Cornerstone Family Services LLC
• Cornerstone Healthcare Staffing LLC

• Psychiatry Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.