| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3610 Bush St, Raleigh, North Carolina |
| Authorized Official Name and Position | Jasmine Spaulding (PAYOR RELATIONS SUPERVISOR) |
| Authorized Official Contact | 9165677893 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3835 N Freeway Blvd Ste 100 Sacramento CA 95834-1954 Ph: (916) 576-7900 | 3610 Bush St Raleigh NC 27609-7511 Ph: (919) 792-3938 |
| NPI Number | 1508803214 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Medicare PECOS PAC ID | 4688655517 |
|---|---|
| Medicare Enrollment ID | O20040526001582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508803214 | NPI | - | NPPES |
| Provider Name | Mohammad Y Abu-salha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245228527 PECOS PAC ID: 4284617200 Enrollment ID: I20040610001230 |
| Provider Name | Paul E Fleischer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215039920 PECOS PAC ID: 3476531336 Enrollment ID: I20040708000928 |
| Provider Name | Kelly Jo Maria Bennett Vancelette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689622706 PECOS PAC ID: 0547209074 Enrollment ID: I20050425001209 |
| Provider Name | Yvonne L Monroe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710084967 PECOS PAC ID: 0446290951 Enrollment ID: I20050504000497 |
| Provider Name | Tracy H Baltzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942218573 PECOS PAC ID: 3779581657 Enrollment ID: I20061201000470 |
| Provider Name | Deborah A Payne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790873305 PECOS PAC ID: 1052414182 Enrollment ID: I20070310000113 |
| Provider Name | Stephanie R Nance Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518173012 PECOS PAC ID: 0749360105 Enrollment ID: I20080110000422 |
| Provider Name | Elizabeth A Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720057888 PECOS PAC ID: 4981767084 Enrollment ID: I20090115000722 |
| Provider Name | Christine A Buzitsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720172398 PECOS PAC ID: 5799963070 Enrollment ID: I20110810000428 |
| Provider Name | Douglas H Finestone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548246812 PECOS PAC ID: 7517131360 Enrollment ID: I20111114000549 |
| Provider Name | Billy L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023069143 PECOS PAC ID: 8628050549 Enrollment ID: I20111219000300 |
| Provider Name | Jennifer Kolyndra Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295032746 PECOS PAC ID: 8527214071 Enrollment ID: I20120816000037 |
| Provider Name | Andrea Danielle Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598995029 PECOS PAC ID: 0345483269 Enrollment ID: I20130826000202 |
| Provider Name | Jeffrey S Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093898603 PECOS PAC ID: 5294787222 Enrollment ID: I20130830000612 |
| Provider Name | Karen M Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285905554 PECOS PAC ID: 9537397427 Enrollment ID: I20140123000944 |
| Provider Name | Gregory P Helton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861711582 PECOS PAC ID: 5193941433 Enrollment ID: I20140723001297 |
| Provider Name | Varsha Vora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851707772 PECOS PAC ID: 8729169826 Enrollment ID: I20141023000254 |
| Provider Name | Sherri Pietropaolo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750797031 PECOS PAC ID: 9739401241 Enrollment ID: I20141211000000 |
| Provider Name | Dee A Etheridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598188740 PECOS PAC ID: 5496077802 Enrollment ID: I20141212001811 |
| Provider Name | Teoletta Suzette West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033470463 PECOS PAC ID: 9335464320 Enrollment ID: I20150216000811 |
| Provider Name | Katrina Mccourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063810711 PECOS PAC ID: 5799098356 Enrollment ID: I20150725012649 |
| Provider Name | Payal Khanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679960009 PECOS PAC ID: 2769796424 Enrollment ID: I20150808015963 |
| Provider Name | Williams S Griffies |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407879356 PECOS PAC ID: 3375648462 Enrollment ID: I20150903000876 |
| Provider Name | Melanie S Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356603898 PECOS PAC ID: 7810299914 Enrollment ID: I20160106002146 |
| Provider Name | Carrie F Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700248184 PECOS PAC ID: 5193017564 Enrollment ID: I20160705000965 |
| Provider Name | Mary F Linker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619118742 PECOS PAC ID: 4789977372 Enrollment ID: I20160719002360 |
| Provider Name | Lashunda D Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770031627 PECOS PAC ID: 8123303542 Enrollment ID: I20170328001053 |
| Provider Name | Melanie Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194120295 PECOS PAC ID: 6103198353 Enrollment ID: I20170823000317 |
| Provider Name | Daniel Wurzelmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356780662 PECOS PAC ID: 4981914009 Enrollment ID: I20171017002755 |
| Provider Name | Lakiesha Johnson Squirewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447774823 PECOS PAC ID: 3375800634 Enrollment ID: I20171122001330 |
| Provider Name | Tikia Yelverton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891279006 PECOS PAC ID: 0547514432 Enrollment ID: I20181112002629 |
| Provider Name | Emily N Gitau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275055584 PECOS PAC ID: 3678847829 Enrollment ID: I20181206001488 |
| Provider Name | Davette L Patterson Yount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639629504 PECOS PAC ID: 2264710078 Enrollment ID: I20181210000719 |
| Provider Name | Jessica Anne Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295123925 PECOS PAC ID: 0042539777 Enrollment ID: I20190603002850 |
| Provider Name | Michelle Samson Maust |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811283500 PECOS PAC ID: 2365771383 Enrollment ID: I20190916003551 |
| Provider Name | David Reuben Capelouto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154708063 PECOS PAC ID: 3476874967 Enrollment ID: I20191104001682 |
| Provider Name | Bryan Leclaire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710408281 PECOS PAC ID: 1052747367 Enrollment ID: I20200205001538 |
| Provider Name | Taylor R Brower |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932626579 PECOS PAC ID: 0941636260 Enrollment ID: I20200205001689 |
| Provider Name | Karen R Cullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154963767 PECOS PAC ID: 1456787654 Enrollment ID: I20200206002555 |
| Provider Name | Laura Elizabeth Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831478502 PECOS PAC ID: 1850721259 Enrollment ID: I20200427002286 |
| Provider Name | Christine Villagomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720638257 PECOS PAC ID: 6204261548 Enrollment ID: I20200713002558 |
| Provider Name | John Preston Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407110208 PECOS PAC ID: 0941620371 Enrollment ID: I20201023000253 |
| Provider Name | Kelli Gaskill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427658236 PECOS PAC ID: 0446661383 Enrollment ID: I20201124002117 |
| Provider Name | Anita Jothy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316268626 PECOS PAC ID: 5799199428 Enrollment ID: I20210120002907 |
| Provider Name | Aleshia La'sawn Point |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336482579 PECOS PAC ID: 8224445002 Enrollment ID: I20210323000458 |
| Provider Name | Sarah Michelle Hildreth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740777002 PECOS PAC ID: 3577971407 Enrollment ID: I20210414001406 |
| Provider Name | Michael Adelman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841516622 PECOS PAC ID: 9032341318 Enrollment ID: I20210630000962 |
| Provider Name | Matthew Guanzon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760074447 PECOS PAC ID: 2365844610 Enrollment ID: I20210709001226 |
| Provider Name | Maureen Guilfoyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407875693 PECOS PAC ID: 5193781268 Enrollment ID: I20210715000139 |
| Provider Name | Richard Stratton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619402849 PECOS PAC ID: 0042583296 Enrollment ID: I20210908000375 |
| Provider Name | Joseph R Kivett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780257246 PECOS PAC ID: 5395142103 Enrollment ID: I20210921003301 |
| Provider Name | Tybreisha Keianna Terry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962980904 PECOS PAC ID: 1355739376 Enrollment ID: I20211025002163 |
| Provider Name | Urvashi Goswami |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154610970 PECOS PAC ID: 1759632938 Enrollment ID: I20220125000504 |
| Provider Name | Coraleisha Antoinette Banks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982180824 PECOS PAC ID: 3274925029 Enrollment ID: I20220128000039 |
| Provider Name | Brad Martin Wuerfel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790104099 PECOS PAC ID: 9739306077 Enrollment ID: I20220221000998 |
| Provider Name | Steven Sinderman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508810623 PECOS PAC ID: 2264476886 Enrollment ID: I20230802002624 |
| Provider Name | Jesse Arthur Pearce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063075497 PECOS PAC ID: 2769715952 Enrollment ID: I20231013001395 |
| Provider Name | Leisy A Pujols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386327179 PECOS PAC ID: 4880032846 Enrollment ID: I20240410000270 |
| Provider Name | Corey Michael Miskevics |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962183160 PECOS PAC ID: 6608315619 Enrollment ID: I20240822000255 |
| Provider Name | Maureen Apollo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790288876 PECOS PAC ID: 4981950334 Enrollment ID: I20240911003386 |
| Provider Name | Myra Saha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740576396 PECOS PAC ID: 2062728744 Enrollment ID: I20240919000410 |
| Provider Name | Judy L Henderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376586818 PECOS PAC ID: 4789125170 Enrollment ID: I20240925003374 |
| Provider Name | Beth Ann Shulman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720206931 PECOS PAC ID: 8224569348 Enrollment ID: I20241001000662 |
| Provider Name | Reya Demirozu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629735451 PECOS PAC ID: 3678966389 Enrollment ID: I20241007002272 |
| Provider Name | Sonia Esther Echevarria |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003341454 PECOS PAC ID: 1557894938 Enrollment ID: I20241023003071 |
| Provider Name | Lindsay Stump Rodwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952943425 PECOS PAC ID: 1355874751 Enrollment ID: I20241023003729 |
| Provider Name | Ryan David Pastor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477144749 PECOS PAC ID: 4183157852 Enrollment ID: I20241101003573 |
Care One Nursing Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 Tryon Rd Suite 103 A, Raleigh, NC 27603 Phone: 919-771-2310 | |
Triumph Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3210 Fairhill Dr, Raleigh, NC 27612 Phone: 919-256-0824 | |
Cheltenham Clinical Services, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2435 Lynn Rd, Suite 200, Raleigh, NC 27612 Phone: 919-438-7396 | |
Pamela J Rosenberg Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 867 Washington St, Raleigh, NC 27605 Phone: 919-833-5867 Fax: 919-833-5859 | |
Thriveworks Clinical - North Carolina Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8406 Six Forks Rd Ste 104, Raleigh, NC 27615 Phone: 919-424-6045 Fax: 617-379-0496 | |
Downtown Raleigh Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5109 Carter St, Raleigh, NC 27612 Phone: 910-257-7530 |