Individual provider Active NPI

Fathima Farheen Reyman, M.D.

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1477878437
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2015-01510 Issued in NC
Practice address
2321 Blue Ridge Rd Ste 102
Raleigh, NC 27607-6453
Phone
(919) 845-1555
Fax
(919) 845-1558
NPI assigned
Apr 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2015-01510 NC Primary

Addresses

Primary practice location

2321 Blue Ridge Rd Ste 102
Raleigh, NC 27607-6453

Mailing address

2321 Blue Ridge Rd Ste 102
Raleigh, NC 27607-6453
Phone (919) 845-1555

Other practice location 1

508 Fulton St
Durham, NC 27705-3875
Phone (919) 286-0411

Other names 1

  • Dr. Fathima Farheen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191205002740 NC Practitioner - Psychiatry 6204269244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Triangle Psychiatric Services PAGroup PAC ID 5698855187, 3 clinicians

Practice addresses (Care Compare)

2501 Atrium Dr
Suite 250
Raleigh, NC 27607-6484
Phone (919) 845-1555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Psychiatric Services, PA Psychiatry CurrentSince May 1, 2020 Accepting new patients

Locations

2321 Blue Ridge Rd
Ste 102
Raleigh, NC 27607
Phone (919) 845-1555

2501 Atrium Dr
Ste 250
Raleigh, NC 27607
Phone (919) 845-1555

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.

NPI Registry JSON

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1477878437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 BLUE RIDGE RD STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076453",
            "telephone_number": "919-845-1555",
            "fax_number": "919-845-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 BLUE RIDGE RD STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076453",
            "telephone_number": "919-845-1555",
            "fax_number": "919-845-1558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277053875",
            "country_code": "US",
            "telephone_number": "919-286-0411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYMAN",
        "first_name": "FATHIMA",
        "middle_name": "FARHEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2015-01510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATHIMA",
            "last_name": "FARHEEN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.