NPIMap

Organization Active NPI

Cary Behavioral Health, PC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Cary, NC
National Provider Identifier
1255484929
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
200001056 Issued in NC
Legal business name
CARY BEHAVIORAL HEALTH, PC
Practice address
160 NE Maynard Road
Suite 200
Cary, NC 27513
Phone
(919) 466-7540
Fax
(919) 466-7543
NPI assigned
Jan 18, 2007
Last updated
Jul 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Waheed K Bajwa, MDNPI 1487607123
Title
President
Phone
(919) 466-7540

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
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 200001056 NC Primary

Addresses

Primary practice location

160 NE Maynard Road
Suite 200
Cary, NC 27513

Mailing address

160 NE Maynard Rd
Suite 200
Cary, NC 27513-9670
Phone (919) 466-7540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070927000360 NC Part B Supplier - Clinic/Group Practice 3779678370 Receives reassigned benefits from 3 practitioners
Practice locations: Cary, NC; Raleigh, NC

National Provider Directory

National Provider Directory

Locations

1230 SE Maynard Rd
Ste 203
Cary, NC 27511
Phone (919) 466-7540

160 NE Maynard Rd
Ste 200
Cary, NC 27513
Phone (919) 466-7540

500 Holly Springs Rd
Ste 104
Holly Springs, NC 27540
Phone (919) 466-7540

8320 Falls of Neuse Rd
Ste 109
Raleigh, NC 27615
Phone (919) 466-7540

Practitioners & affiliated clinicians

Practitioners 11

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1255484929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NE MAYNARD RD",
            "address_2": "SUITE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275139670",
            "telephone_number": "919-466-7540",
            "fax_number": "919-466-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NE MAYNARD ROAD",
            "address_2": "SUITE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-466-7540",
            "fax_number": "919-466-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY BEHAVIORAL HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "WAHEED",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-466-7540",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NC",
            "license": "200001056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.