Triangle Neuropsychiatry, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

31000 Issued in NC

Legal business name

TRIANGLE NEUROPSYCHIATRY, PLLC

Practice address

3713 University Dr
Ste B
Durham, NC 27707-6202

Phone

(919) 401-6212

Fax

(919) 401-4170

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark C Chandler, MDNPI 1265452270

Title

Medical Director

Phone

(919) 401-6212

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

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

• Mark C Chandler, MD

  • Psychiatry Physician
  • Durham, NC
  • NPI 1265452270
  Medicare reassignment Authorized official
• David William Fulford, PA-C

  • Physician Assistant
  • Durham, NC
  • NPI 1811903016
  NPD (past)
• Trina Darlene Powell, PA

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Durham, NC
  • NPI 1366890253
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1710191069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 UNIVERSITY DR",
            "address_2": "STE B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076202",
            "telephone_number": "919-401-6212",
            "fax_number": "919-401-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 UNIVERSITY DR",
            "address_2": "STE B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076202",
            "telephone_number": "919-401-6212",
            "fax_number": "919-401-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE NEUROPSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "919-401-6212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "31000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8921983",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Triangle Medical Associates, PC
• Triangle Medical Transportation
• Triangle Mental Health, PLLC
• Triangle Mindful Birthing
• Triangle Molecular Toxicology LLC
• Triangle Neuropsychology Services, PLLC
• Triangle Park Chiropractic Assoc. PA
• Triangle Pharmacy
• Triangle Pharmacy Inc
• Triangle Psychiatry & Wellness, PLLC

• Psychiatry Physician in Durham, NC
• Providers in Durham, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.