Organization Active NPI

Neuropsychiatric Care Center, PLLC

  • Child & Adolescent Psychiatry Physician
  • Greensboro, NC
National Provider Identifier
1497098420
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
2009-00549 Issued in NC
Legal business name
NEUROPSYCHIATRIC CARE CENTER, PLLC
Practice address
3822 N Elm St Ste 101
Greensboro, NC 27455-2596
Phone
(516) 312-5764
NPI assigned
Mar 27, 2013
Reactivated
Nov 8, 2023
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
Dr. Mojeed A Akintayo, M.DNPI 1093936676
Title
Owner/Ceo
Phone
(516) 312-5764

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
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X 2009-00549 NC Primary

Addresses

Primary practice location

3822 N Elm St Ste 101
Greensboro, NC 27455-2596

Mailing address

3822 N Elm St Ste 101
Greensboro, NC 27455-2596
Phone (516) 312-5764

Other identifiers 1

IdentifierTypeStateIssuer
5911431MedicaidNC

Other names 1

  • NCC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130909000423 NC Part B Supplier - Clinic/Group Practice 2163665340 Receives reassigned benefits from 3 practitioners
Practice locations: Greensboro, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2067190Neuropsychiatric Care Center PLLC3822 North Elm Street, Ste 101, Greensboro, NC 27455Certificate of waiverOct 9, 2027

National Provider Directory

National Provider Directory

Locations

3822 N Elm St
#101
Greensboro, NC 27455
Phone (336) 505-9494

445 Dolley Madison Rd
Ste 210
Greensboro, NC 27410
Phone (336) 365-1001

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1497098420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 N ELM ST STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552596",
            "telephone_number": "516-312-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 N ELM ST STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552596",
            "telephone_number": "516-312-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHIATRIC CARE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "deactivation_date": "2023-10-23",
        "reactivation_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "AKINTAYO",
        "authorized_official_first_name": "MOJEED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "516-312-5764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "2009-00549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911431",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greensboro, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.