| Raleigh Psychiatric Associates Pa | |
|
3900 Browning Place Suite 201 Raleigh NC 27609-6555 | |
| (919) 787-7125 | |
| (919) 781-9952 |
| Full Name | Raleigh Psychiatric Associates Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3900 Browning Place, Raleigh, North Carolina |
| Authorized Official Name and Position | James E Bellard (PRESIDENT) |
| Authorized Official Contact | 9197877125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raleigh Psychiatric Associates Pa 3900 Browning Place Suite 201 Raleigh NC 27609-6555 Ph: (919) 787-7125 | Raleigh Psychiatric Associates Pa 3900 Browning Place Suite 201 Raleigh NC 27609-6555 Ph: (919) 787-7125 |
| NPI Number | 1669585550 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 03/09/2015 |
| Medicare PECOS PAC ID | 8921291519 |
|---|---|
| Medicare Enrollment ID | O20101014001102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669585550 | NPI | - | NPPES |
| 02512 | Other | NC | BCBS |
| 8902512 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Dana C Fennell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1750494647 PECOS PAC ID: 6709888928 Enrollment ID: I20101008001221 |
| Provider Name | Frank D Castlebury Iii |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689787574 PECOS PAC ID: 9335332949 Enrollment ID: I20101020001163 |
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