ADOLESCENT,CHILD & ADULT PSYCHIATRY
NPI 1457519514
Clinic/Center - Adolescent and Children Mental Health in Raleigh, NC

Active since May 27, 2008
4041 ED DR # 108, RALEIGH, NC 27612(919) 783-8377(866) 347-8377 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Adolescent,child & Adult Psychiatry NPPES

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

ADOLESCENT,CHILD & ADULT PSYCHIATRY (NPI 1457519514) is a healthcare organization registered as an adolescent and children mental health in Raleigh, North Carolina and active in the NPI registry since May 2008. The organization lists Shaheda Fatima Maroof, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1457519514
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameADOLESCENT,CHILD & ADULT PSYCHIATRY
Location Address4041 ED DR # 108Raleigh, NC 27612-8089
Mailing Address4041 Ed Dr # 108Raleigh, NC 27612-8089 · (919) 783-8377 · Fax (866) 347-8377
Fax(866) 347-8377
Organization SubpartNo
Authorized OfficialShaheda Fatima MaroofPsychiatrist · (919) 783-8377
Enumeration DateMay 27, 2008
✔ NPI 1457519514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in NC · 28114
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 28114 (NC)
4041 ED DR # 108, Raleigh, NC 27612

Other Identifiers 2

Other12082NC · Blue Cross Blue Shield Of North Carolina
Medicaid8912082NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adolescent,child & Adult Psychiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Adolescent,child & Adult Psychiatry, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Psychiatry
NPI 1558454322
4041 ED DR #108
Raleigh, NC 27612
(919) 783-8377
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1386792554
4041 ED DR STE 108
Raleigh, NC 27612
(919) 324-3385
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1427665074
12900 SAXON WAY
Raleigh, NC 27613
(910) 417-8820
✔ PECOS✔ Accepts Medicare5.9 mi
Clinical Psychologist
NPI 1518357383
10580 LIGON MILL RD 210
Wake Forest, NC 27587
(919) 263-9592
✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Adolescent,child & Adult Psychiatry's NPI number?

The NPI number for Adolescent,child & Adult Psychiatry is 1457519514. It was assigned to this organization in the NPPES registry on May 27, 2008.

Where is Adolescent,child & Adult Psychiatry located?

Adolescent,child & Adult Psychiatry is located at 4041 Ed Dr # 108, Raleigh, NC 27612. The listed phone number is (919) 783-8377.

What is Adolescent,child & Adult Psychiatry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Is Adolescent,child & Adult Psychiatry enrolled in Medicare?

Yes. Adolescent,child & Adult Psychiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Adolescent,child & Adult Psychiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Adolescent,child & Adult Psychiatry, in Clinical Psychologist, Clinical Social Worker and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Adolescent,child & Adult Psychiatry accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Adolescent,child & Adult Psychiatry 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 Adolescent,child & Adult Psychiatry was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.