WAKE PSYCHOLOGICAL SERVICES, PLLC
NPI 1306143383
Community/Behavioral Health in Raleigh, NC

Active since February 28, 2011
9308 CLUB HILL DR, RALEIGH, NC 27617(919) 308-8470(919) 806-0088 Get Directions Write a Review

NPPES record last updated: February 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wake Psychological Services, Pllc NPPES

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

WAKE PSYCHOLOGICAL SERVICES, PLLC (NPI 1306143383) is a healthcare organization registered as a community/behavioral health in Raleigh, North Carolina and active in the NPI registry since February 2011. The organization lists Tijuana Crosby, President, as its authorized official.

NPPES Registry Identity

NPI1306143383
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameWAKE PSYCHOLOGICAL SERVICES, PLLC
Location Address9308 CLUB HILL DRRaleigh, NC 27617-7572
Mailing Address9308 Club Hill DrRaleigh, NC 27617-7572 · (919) 308-8470 · Fax (919) 806-0088
Fax(919) 806-0088
Organization SubpartNo
Authorized OfficialTijuana CrosbyPresident · (919) 308-8470
Enumeration DateFebruary 28, 2011
NPI 1306143383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in NC · 2119
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
9308 CLUB HILL DR, Raleigh, NC 27617

Other Identifiers 1

Medicaid6107407NC

Other Providers at the Same Location NPPES

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

Psychologist
9308 CLUB HILL DR
RALEIGH, NC 27617

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 Psychological Services, PLLC's NPI number?

The NPI number for Wake Psychological Services, PLLC is 1306143383. It was assigned to this organization in the NPPES registry on February 28, 2011.

Where is Wake Psychological Services, PLLC located?

Wake Psychological Services, PLLC is located at 9308 Club Hill Dr, Raleigh, NC 27617. The listed phone number is (919) 308-8470.

What is Wake Psychological Services, PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Wake Psychological Services, PLLC was last updated on February 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.