| Triangle Psychiatric Services, Pa | |
|
3909 Sunset Ridge Rd Suite 101 Raleigh NC 27607-6668 | |
| (919) 845-1555 | |
| (919) 845-1558 |
| Full Name | Triangle Psychiatric Services, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3909 Sunset Ridge Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Margaret J. Dorfman (PRESIDENT) |
| Authorized Official Contact | 9198451555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triangle Psychiatric Services, Pa 3909 Sunset Ridge Rd Suite 101 Raleigh NC 27607-6668 Ph: (919) 845-1555 | Triangle Psychiatric Services, Pa 3909 Sunset Ridge Rd Suite 101 Raleigh NC 27607-6668 Ph: (919) 845-1555 |
| NPI Number | 1730220922 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 11/19/2011 |
| Medicare PECOS PAC ID | 5698855187 |
|---|---|
| Medicare Enrollment ID | O20090203000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730220922 | NPI | - | NPPES |
| 8928935 | Medicaid | NC | |
| 28935 | Other | NC | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25014 (North Carolina) | Primary |
| Provider Name | Margaret Dorfman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619015211 PECOS PAC ID: 9335229814 Enrollment ID: I20090129000449 |
| Provider Name | William Russell Cannon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164764759 PECOS PAC ID: 1759515927 Enrollment ID: I20170724000006 |
| Provider Name | Fathima Farheen Reyman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477878437 PECOS PAC ID: 6204269244 Enrollment ID: I20191205002740 |
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