Individual provider Active NPI

Dawn Jenee Graney-Noell, PSYD

  • Forensic Psychologist
  • Wake Forest, NC
National Provider Identifier
1548095656
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
2904 Issued in NC
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

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
2904NCMDAthletic 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.

Verify at the official NPI Registry.