Telepsych Supports PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TELEPSYCH SUPPORTS PLLC

Practice address

6500 Creedmoor Rd Ste 106
Raleigh, NC 27613-3698

Phone

(919) 523-8817

Fax

(888) 523-6763

NPI assigned

Jun 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. George Vergolias, PSY.D.

Title

President

Phone

(919) 523-8817

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1841552866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 CREEDMOOR RD STE 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133698",
            "telephone_number": "919-523-8817",
            "fax_number": "888-523-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 CREEDMOOR RD STE 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133698",
            "telephone_number": "919-523-8817",
            "fax_number": "888-523-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEPSYCH SUPPORTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "VERGOLIAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-523-8817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Teetor, LCSW
• Bethany L. Tefft, NCC, NCSC, LPC
• Shahram T Tehrani, MD
• Edward Tejeda Jr.
• Ummuhan Tekin, M.D.
• Telernow
• Maria Telesca
• Santiago Tellez Pacheco, DDS
• Stacy M Telloni, MD
• Tellos, Inc.

• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.