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WAKEMED OUTPATIENT BEHAVIORAL HEALTH
NPI 1245895697
Pediatrics - Developmental - Behavioral Pediatrics in Raleigh, NC

Active since May 01, 2019
23 SUNNYBROOK RD, RALEIGH, NC 27610(919) 350-7584(919) 231-0314 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2020, Aug 14, 2019, May 1, 2019 (3 updates tracked since 2019).

About Wakemed Outpatient Behavioral Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAKEMED OUTPATIENT BEHAVIORAL HEALTH (NPI 1245895697) is a healthcare organization registered as a developmental - behavioral pediatrics in Raleigh, North Carolina and active in the NPI registry since May 2019. The organization lists Maria Jayoussi, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1245895697
Entity TypeOrganization
Primary Taxonomy2080P0006X
Legal Business NameWAKEMED SPECIALISTS GROUP, LLC
Location Address23 SUNNYBROOK RDRaleigh, NC 27610-1855
Mailing AddressPo Box 603949Charlotte, NC 28260-3949 · (919) 350-0552 · Fax (919) 350-7687
Phone(919) 350-7584
Fax(919) 231-0314
Organization SubpartNo
Authorized OfficialMaria JayoussiExecutive Director Of Finance · (919) 350-6089
Enumeration DateMay 1, 2019
Last NPPES UpdateJuly 1, 20203 updates tracked since enumeration
NPPES CertifiedJuly 1, 2020
✔ NPI 1245895697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
23 SUNNYBROOK RD, Raleigh, NC 27610
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Other Names 1

Doing Business AsWakemed Outpatient Behavioral Health

Other Identifiers 1

Medicaid1245895697NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAKEMED SPECIALISTS GROUP LLC
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 350-8000
JEFF LAWRENCE KANTOR MD
Pediatrics (Pediatric Gastroenterology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 235-6435
VESHANA SINTHAL RAMIAH MD
Internal Medicine (Hematology & Oncology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 350-7193
DR. COLIN BRUCE MUNCIE M.D.
Surgery (Pediatric Surgery)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 350-8797
MRS. ALESIA PERKINS GILMORE MS, LCMHC, LPC
Counselor (Mental Health)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 235-6510
MRS. ELLEN ROBIA HOLLOWAY PA-C
Physician Assistant (Medical)
23 SUNNYBROOK RD, SUITE 220
RALEIGH, NC 27610
Wake County (919) 350-2873
ASTHA THAKKAR MD
Internal Medicine (Hematology & Oncology)
23 SUNNYBROOK RD, SUITE 220
RALEIGH, NC 27610
Wake County (919) 350-2873
LITASHA WILSON
Social Worker (Clinical)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 212-3011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wakemed Specialists Group, LLC's NPI number?

The NPI number for Wakemed Specialists Group, LLC is 1245895697. It was assigned to this organization in the NPPES registry on May 1, 2019. The provider is doing business as Wakemed Outpatient Behavioral Health.

Where is Wakemed Specialists Group, LLC located?

Wakemed Specialists Group, LLC is located at 23 Sunnybrook Rd, Raleigh, NC 27610. The listed phone number is (919) 350-7584.

What is Wakemed Specialists Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

What insurance does Wakemed Specialists Group, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Wakemed Specialists Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wakemed Specialists Group, LLC was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.