NPIMap

Organization Active NPI

Wayne Psychiatric Associates, PA

  • Psychiatry Physician
  • Goldsboro, NC
National Provider Identifier
1376633388
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WAYNE PSYCHIATRIC ASSOCIATES, PA
Practice address
400 N William St
Goldsboro, NC 27530-0000
Phone
(919) 734-8604
Fax
(919) 731-2233
NPI assigned
Oct 13, 2006
Last updated
Apr 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Louis Anthony Gagliano, MD
Title
President
Phone
(919) 734-8604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

400 N William St
Goldsboro, NC 27530-0000

Mailing address

PO Box 1975
Goldsboro, NC 27533-1975
Phone (919) 734-8604

Other identifiers 1

IdentifierTypeStateIssuer
890280CMedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1376633388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1975",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275331975",
            "telephone_number": "919-734-8604",
            "fax_number": "919-731-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N WILLIAM ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275300000",
            "telephone_number": "919-734-8604",
            "fax_number": "919-731-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE PSYCHIATRIC ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "GAGLIANO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-734-8604",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890280C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.