NPIMap

Organization Active NPI

Peace Psychiatry

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1710332192
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PEACE PSYCHIATRY
Practice address
1520 Sunday Dr Ste 320
Raleigh, NC 27607
Phone
(919) 798-5727
Fax
(919) 827-1269
NPI assigned
May 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Christina Huck
Title
Insurance & Billing Manager
Phone
(919) 798-5727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1520 Sunday Dr Ste 320
Raleigh, NC 27607

Mailing address

1520 Sunday Dr Ste 320
Raleigh, NC 27607-5254
Phone (919) 798-5727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161110000018 NC Part B Supplier - Clinic/Group Practice 0345529616 Receives reassigned benefits from 5 practitioners
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

1520 Sunday Dr
Ste 320
Raleigh, NC 27607
Phone (919) 798-5727

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1710332192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 SUNDAY DR STE 320",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075254",
            "telephone_number": "919-798-5727",
            "fax_number": "919-827-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SUNDAY DR STE 320",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607",
            "telephone_number": "919-798-5727",
            "fax_number": "919-827-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "HUCK",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "INSURANCE & BILLING MANAGER",
        "authorized_official_telephone_number": "919-798-5727"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "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 Sep 1, 2020; 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.