| Adolescent,child & Adult Psychiatry | |
|
4041 Ed Dr # 108 Raleigh NC 27612-8089 | |
| (919) 783-8377 | |
| (866) 347-8377 |
| Full Name | Adolescent,child & Adult Psychiatry |
|---|---|
| Speciality | Clinic/Center |
| Location | 4041 Ed Dr # 108, Raleigh, North Carolina |
| Authorized Official Name and Position | Shaheda Fatima Maroof (PSYCHIATRIST) |
| Authorized Official Contact | 9197838377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolescent,child & Adult Psychiatry 4041 Ed Dr # 108 Raleigh NC 27612-8089 Ph: (919) 783-8377 | Adolescent,child & Adult Psychiatry 4041 Ed Dr # 108 Raleigh NC 27612-8089 Ph: (919) 783-8377 |
| NPI Number | 1457519514 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Medicare PECOS PAC ID | 3375714777 |
|---|---|
| Medicare Enrollment ID | O20110915000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457519514 | NPI | - | NPPES |
| 12082 | Other | NC | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA |
| 8912082 | Medicaid | NC |
| Provider Name | Shaheda Fatima Maroof |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558454322 PECOS PAC ID: 8729259445 Enrollment ID: I20110928000714 |
| Provider Name | Joanna Schechner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518357383 PECOS PAC ID: 0749596195 Enrollment ID: I20150831000877 |
| Provider Name | Michael Rodney Rosen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386792554 PECOS PAC ID: 7911806591 Enrollment ID: I20160527001805 |
| Provider Name | Melissa A Jackson-westbrook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245701127 PECOS PAC ID: 7416296298 Enrollment ID: I20190222002236 |
| Provider Name | Katherine Charlotte Okoniewski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477928620 PECOS PAC ID: 1355799727 Enrollment ID: I20231122002708 |
| Provider Name | Mohammad Baseer Maroof |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366018483 PECOS PAC ID: 3678923851 Enrollment ID: I20231229002551 |
| Provider Name | Arshiya F Siddiqui |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427665074 PECOS PAC ID: 3971954835 Enrollment ID: I20240104004696 |
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