NPIMap

Organization Active NPI

Wake Psychiatry, PLLC

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1669763520
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WAKE PSYCHIATRY, PLLC
Practice address
1500 Sunday Dr Ste 102
Raleigh, NC 27607-5151
Phone
(919) 322-2413
Fax
(919) 322-2416
NPI assigned
Apr 27, 2011
Last updated
Apr 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Kellie Morris TolinNPI 1851373765
Title
Chief Medical Officer
Phone
(919) 322-2413

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

1500 Sunday Dr Ste 102
Raleigh, NC 27607-5151

Mailing address

1500 Sunday Dr Ste 102
Raleigh, NC 27607-5151
Phone (919) 322-2413

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110920000463 NC Part B Supplier - Clinic/Group Practice 3870764079 Receives reassigned benefits from 11 practitioners
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

603 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 632-3505

1500 Sunday Dr
Ste 102
Raleigh, NC 27607
Phone (919) 322-2413

1500 Sunday Dr
Ste 200
Raleigh, NC 27607
Phone (919) 322-2413

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1669763520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SUNDAY DR STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075151",
            "telephone_number": "919-322-2413",
            "fax_number": "919-322-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SUNDAY DR STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075151",
            "telephone_number": "919-322-2413",
            "fax_number": "919-322-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "TOLIN",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "919-322-2413"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "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 Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.