Jerusalyn Amyah-Faith Overbey

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

110 Capcom Ave Ste 101
Wake Forest, NC 27587-6531

Phone

(910) 232-7342

NPI assigned

Feb 17, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1861297566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CAPCOM AVE STE 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CAPCOM AVE STE 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876531",
            "telephone_number": "910-232-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERBEY",
        "first_name": "JERUSALYN",
        "middle_name": "AMYAH-FAITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Antonio Ortiz, MD
• Ramsey Osborn, PA
• Diane Osborne, OTR/L
• John Michael Osika Sr., LMBT
• Osio Health
• Rachel Overcash, LCSW
• Mackenzie Owens
• Sugey Arlette Packler
• Arthur Wayne Page, RPH
• Titika D Palmer

• Behavior Technician in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.