Peter B. Van Dyck, MD & Associates, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PETER B. VAN DYCK, MD & ASSOCIATES, PA

Practice address

4601 Lake Boone TRL Ste 1B
Raleigh, NC 27607-7503

Phone

(919) 781-1800

Fax

(919) 781-1899

NPI assigned

Feb 22, 2008

Organization subpart

No

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

Authorized official

Name

Peter Bern Van Dyck, MDNPI 1730275470

Title

President

Phone

(919) 781-1800

Specialties & licenses 1

Addresses

Other names 1

• Peter B. van Dyck, MD, PA Other name

Tax ID family

Peter B Van Dyck MD Associates PA2 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.

• Peter B. Van Dyck, MD & Associates, PA

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1669627493
  NPD tax ID

Practitioners 1

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

• Peter Bern Van Dyck, MD

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1730275470
  NPD (past) Authorized official

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1255500393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80155",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276230155",
            "telephone_number": "919-781-1800",
            "fax_number": "919-781-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL STE 1B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077503",
            "telephone_number": "919-781-1800",
            "fax_number": "919-781-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER B. VAN DYCK, MD & ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "VAN DYCK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "BERN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-781-1800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peter B. van Dyck, MD, PA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Peter B. van Dyck, MD, PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Matthew Persons, D.C.
• Perspective Counseling, PLLC
• Adnan Pervez, MD
• Erin Wilson Pescaro, RN
• Editta Pessima
• Peter B. Van Dyck, MD & Associates, PA
• Peter Grumbos DDS Northway PLLC
• Duboris James Peterkin
• Ashley L Peters, LCSWA
• Bryan Maclin Peters, M.D.

• 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 Apr 28, 2020; 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.