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WAKEMED CHILDREN'S-PEDIATRIC BEHAVIORAL HEALTH
NPI 1659934511
Pediatrics - Developmental - Behavioral Pediatrics in Raleigh, NC

Active since April 17, 2019
23 SUNNYBROOK RD, RALEIGH, NC 27610(919) 350-8797(919) 350-7859 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2019, Apr 17, 2019 (2 updates tracked since 2019).

About Wakemed Children's-pediatric Behavioral Health NPPES

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

WAKEMED CHILDREN'S-PEDIATRIC BEHAVIORAL HEALTH (NPI 1659934511) is a healthcare organization registered as a developmental - behavioral pediatrics in Raleigh, North Carolina and active in the NPI registry since April 2019. The organization lists Maria Jayoussi, Executive Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1659934511
Entity TypeOrganization
Primary Taxonomy2080P0006X
Legal Business NameWAKE SPECIALTY PHYSICIANS, LLC
Location Address23 SUNNYBROOK RDRaleigh, NC 27610-1855
Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (877) 498-4490 · Fax (919) 350-7687
Phone(919) 350-8797
Fax(919) 350-7859
Organization SubpartNo
Authorized OfficialMaria JayoussiExecutive Vp Of Finance · (919) 350-0554
Enumeration DateApril 17, 2019
Last NPPES UpdateJuly 24, 20192 updates tracked since enumeration
✔ NPI 1659934511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
23 SUNNYBROOK RD, Raleigh, NC 27610
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Other Names 1

Doing Business AsWakemed Children's-pediatric Behavioral Health

Other Identifiers 1

Medicaid1942440375NC

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 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 Wake Specialty Physicians, LLC's NPI number?

The NPI number for Wake Specialty Physicians, LLC is 1659934511. It was assigned to this organization in the NPPES registry on April 17, 2019. The provider is doing business as Wakemed Children's-Pediatric Behavioral Health.

Where is Wake Specialty Physicians, LLC located?

Wake Specialty Physicians, LLC is located at 23 Sunnybrook Rd, Raleigh, NC 27610. The listed phone number is (919) 350-8797.

What is Wake Specialty Physicians, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Wake Specialty Physicians, LLC was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.