Active NPI
Kelly Allan Schofield, MD
- Child & Adolescent Psychiatry Physician
- Durham, NC
National Provider Identifier
1346416948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- NC2012-02176
- Practice address
- 1603 W NC Highway 54
Durham
Durham, NC 27707-5511 - Phone
- (919) 443-2341
- Fax
- (919) 869-1678
- NPI assigned
- May 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2012-02176 | NC | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | NC2012-02176 | NC | Primary |
Addresses
Primary practice location
1603 W NC Highway 54
Durham
Durham, NC 27707-5511
Mailing address
1603 W NC Highway 54
Durham, NC 27707-5511
Phone (919) 275-2845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012-02176 | NC | MD | Psychiatry Physician |
| NC2012-02176 | NC | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triangle Psychiatry & Wellness, PLLC | Psychiatry | Current | Accepting new patients |
Locations
1515 W NC Highway 54
Ste 220
Durham, NC 27707
Phone (919) 297-8322
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1609288034
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1346416948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 W NC HIGHWAY 54",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075511",
"telephone_number": "919-275-2845",
"fax_number": "833-740-3415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 W NC HIGHWAY 54",
"address_2": "DURHAM",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075511",
"telephone_number": "919-443-2341",
"fax_number": "919-869-1678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOFIELD",
"first_name": "KELLY",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-02",
"last_updated": "2024-04-30",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2012-02176",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NC",
"license": "NC2012-02176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.