Active NPI
Zachary Quin Ufland
- Marriage & Family Therapist
- Raleigh, NC
National Provider Identifier
1447827498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 12295A
- Practice address
- 5401 Six Forks Rd Ste 200
Raleigh, NC 27609-4462 - Phone
- (919) 886-4052
- NPI assigned
- Jun 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 12295A | NC | Primary |
Addresses
Primary practice location
5401 Six Forks Rd Ste 200
Raleigh, NC 27609-4462
Mailing address
5727 Magellan Way Apt 306
Raleigh, NC 27612-2265
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12295A | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Third Wave Psychotherapy, PLLC | Current | Accepting new patients |
Locations
5401 Six Forks Rd
Ste 200
Raleigh, NC 27609
Phone (919) 704-8449
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Raleigh, NC
- NPI 1205219763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1447827498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5727 MAGELLAN WAY APT 306",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276122265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 SIX FORKS RD STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094462",
"telephone_number": "919-886-4052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UFLAND",
"first_name": "ZACHARY",
"middle_name": "QUIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "12295A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.