Organization Active NPI

Classical Psychotherapy PC

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1700542479
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CLASSICAL PSYCHOTHERAPY PC
Practice address
421 Fayetteville St
Suite 1100
Raleigh, NC 27601
Phone
(919) 825-0388
NPI assigned
Nov 16, 2021
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Mariam ElshenawyNPI 1437621703
Title
President
Phone
(919) 825-0388

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

421 Fayetteville St
Suite 1100
Raleigh, NC 27601

Mailing address

421 Fayetteville St
Suite 1100
Raleigh, NC 27601
Phone (919) 825-0388

National Provider Directory

National Provider Directory

Locations

220 Grande Heights Dr
#1018
Cary, NC 27513

Practitioners & affiliated clinicians

Practitioners 2

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": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1700542479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 FAYETTEVILLE ST",
            "address_2": "SUITE 1100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27601",
            "telephone_number": "919-825-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 FAYETTEVILLE ST",
            "address_2": "SUITE 1100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27601",
            "telephone_number": "919-825-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSICAL PSYCHOTHERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "ELSHENAWY",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-825-0388"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "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 Nov 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.