| Medpsych Integrated Pllc | |
|
7780 Brier Creek Pkwy Ste 306 Raleigh NC 27617 | |
| (850) 292-6579 | |
| Not Available |
| Full Name | Medpsych Integrated Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7780 Brier Creek Pkwy Ste 306, Raleigh, North Carolina |
| Authorized Official Name and Position | Juanita Henne (PRACTICE MANAGER) |
| Authorized Official Contact | 8502926579 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medpsych Integrated Pllc 7780 Brier Creek Pkwy Ste 306 Raleigh NC 27617-7849 Ph: (850) 292-6579 | Medpsych Integrated Pllc 7780 Brier Creek Pkwy Ste 306 Raleigh NC 27617 Ph: (850) 292-6579 |
| NPI Number | 1154898013 |
|---|---|
| Provider Enumeration Date | 10/30/2018 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Medicare PECOS PAC ID | 2062759202 |
|---|---|
| Medicare Enrollment ID | O20190128000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154898013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Harold J Hong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558537415 PECOS PAC ID: 4688064462 Enrollment ID: I20211209002563 |
| Provider Name | Andrea Talarczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821777632 PECOS PAC ID: 3779928262 Enrollment ID: I20240223001891 |
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