Active NPI
Dawn Jenee Graney-Noell, PSYD
- Forensic Psychologist
- Wake Forest, NC
National Provider Identifier
1548095656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 2904
- Practice address
- 1205 Partington St
Wake Forest, NC 27587-8350 - Phone
- (919) 349-2557
- NPI assigned
- Sep 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 2904 | NC | Primary |
Addresses
Primary practice location
1205 Partington St
Wake Forest, NC 27587-8350
Mailing address
104 S White St # 1003
Wake Forest, NC 27587-2773
Phone (984) 977-9399
Other names 1
- Dr. Dawn Jenee Graney
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 |
|---|---|---|---|
| 2904 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1548095656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 S WHITE ST # 1003",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275872773",
"telephone_number": "984-977-9399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 PARTINGTON ST",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275878350",
"telephone_number": "919-349-2557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANEY-NOELL",
"first_name": "DAWN",
"middle_name": "JENEE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-06",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "NC",
"license": "2904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAWN",
"last_name": "GRANEY",
"middle_name": "JENEE",
"prefix": "DR.",
"credential": "PSYD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.