WAKE INTEGRATIVE BEHAVIORAL MEDICINE, PC
NPI 1295254399
Psychologist - Clinical in Seven Lakes, NC

Q: What is Wake Integrative Behavioral Medicine, PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since September 11, 2017

1107 SEVEN LAKES DRIVE, SEVEN LAKES, NC 27376(414) 847-9351(888) 227-7795 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Sep 11, 2017 (2 updates tracked since 2017).

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About Wake Integrative Behavioral Medicine, Pc NPPES

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

WAKE INTEGRATIVE BEHAVIORAL MEDICINE, PC (NPI 1295254399) is a healthcare organization registered as a clinical in Seven Lakes, North Carolina and active in the NPI registry since September 2017. The organization lists Carol Yvonne Smith, Ceo/president/owner, as its authorized official.

NPPES Registry Identity

NPI1295254399

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameWAKE INTEGRATIVE BEHAVIORAL MEDICINE, PC

Location Address1107 SEVEN LAKES DRIVESeven Lakes, NC 27376

Mailing Address80 Blake Blvd Unit 3038Pinehurst, NC 28374-9599 · (414) 847-9351 · Fax (888) 822-7227

Phone(414) 847-9351

Fax(888) 227-7795

Organization SubpartNo

Authorized OfficialCarol Yvonne SmithCeo/president/owner · (414) 847-9351

Enumeration DateSeptember 11, 2017

Last NPPES UpdateJune 16, 20182 updates tracked since enumeration

✔ NPI 1295254399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NC · 3503

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1107 SEVEN LAKES DRIVE, Seven Lakes, NC 27376

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Other Identifiers 1

Other3503NC · My License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. CAROL YVONNE SMITH PHD, PHD, MS, LICSW,

Psychologist (Clinical)

1107 SEVEN LAKES DRIVE
SEVEN LAKES, NC 27376

Moore County (910) 778-2427

SMITH PSYCHOLOGICAL SERVICES, P.C.

Psychologist (Health Service)

1107 SEVEN LAKES DRIVE
SEVEN LAKES, NC 27376

Moore County (910) 778-2427

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 Wake Integrative Behavioral Medicine, PC's NPI number?

The NPI number for Wake Integrative Behavioral Medicine, PC is 1295254399. It was assigned to this organization in the NPPES registry on September 11, 2017.

Where is Wake Integrative Behavioral Medicine, PC located?

Wake Integrative Behavioral Medicine, PC is located at 1107 Seven Lakes Drive, Seven Lakes, NC 27376. The listed phone number is (414) 847-9351.

What is Wake Integrative Behavioral Medicine, PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Wake Integrative Behavioral Medicine, PC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.