Organization Active NPI

Apex Mental Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cary, NC
National Provider Identifier
1295515393
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
APEX MENTAL HEALTH, PLLC
Practice address
523 Keisler Dr Ste 202
Cary, NC 27518-7099
Phone
(919) 601-6442
Fax
(919) 890-9587
NPI assigned
Oct 5, 2023
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Mr. Clarence David Runnels III, NURSE PRACTITIONERNPI 1487129649
Title
Director
Phone
(919) 601-6442

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

523 Keisler Dr Ste 202
Cary, NC 27518-7099

Mailing address

523 Keisler Dr Ste 202
Cary, NC 27518-7099
Phone (919) 601-6442

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241004000561 NC Part B Supplier - Clinic/Group Practice 7618408345 Receives reassigned benefits from 1 practitioner
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Locations

1616 Evans Rd
Ste 203
Cary, NC 27513
Phone (919) 234-1321

523 Keisler Dr
Ste 202
Cary, NC 27518
Phone (919) 424-0062

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": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1295515393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 KEISLER DR STE 202",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187099",
            "telephone_number": "919-601-6442",
            "fax_number": "919-890-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 KEISLER DR STE 202",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187099",
            "telephone_number": "919-601-6442",
            "fax_number": "919-890-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "RUNNELS",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-601-6442",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "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 Dec 4, 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.