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COLLEGIAL BEHAVIORAL HEALTH, PLLC
NPI 1780191627
Physician Assistant in Raleigh, NC

Active since January 01, 2018
12740 SPRUCE TREE WAY STE 102, RALEIGH, NC 27614(919) 916-1160(919) 488-4226 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Collegial Behavioral Health, Pllc NPPES

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

COLLEGIAL BEHAVIORAL HEALTH, PLLC (NPI 1780191627) is a healthcare organization registered as a physician assistant in Raleigh, North Carolina and active in the NPI registry since January 2018. The organization lists Owen Wang, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1780191627
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameCOLLEGIAL BEHAVIORAL HEALTH, PLLC
Location Address12740 SPRUCE TREE WAY STE 102Raleigh, NC 27614-8295
Mailing Address12740 Spruce Tree Way Ste 102Raleigh, NC 27614-8295 · (919) 916-1160 · Fax (919) 488-4226
Phone(919) 916-1160
Fax(919) 488-4226
Organization SubpartNo
Authorized OfficialOwen WangOffice Manager · (626) 808-6428
Enumeration DateJanuary 1, 2018
Last NPPES UpdateOctober 17, 2019
✔ NPI 1780191627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-05553
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12740 SPRUCE TREE WAY STE 102, Raleigh, NC 27614
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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.

AMY RICHARDSON
Peer Specialist
12740 SPRUCE TREE WAY STE 102
RALEIGH, NC 27614
Wake County (984) 255-1314
MS. SHERYL ANNE CLARK LPC-A, LCAS-A
Counselor (Mental Health)
12740 SPRUCE TREE WAY STE 102
RALEIGH, NC 27614
Wake County (919) 916-1160

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 Collegial Behavioral Health, PLLC's NPI number?

The NPI number for Collegial Behavioral Health, PLLC is 1780191627. It was assigned to this organization in the NPPES registry on January 1, 2018.

Where is Collegial Behavioral Health, PLLC located?

Collegial Behavioral Health, PLLC is located at 12740 Spruce Tree Way Ste 102, Raleigh, NC 27614. The listed phone number is (919) 916-1160.

What is Collegial Behavioral Health, PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Collegial Behavioral Health, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Collegial Behavioral Health, PLLC 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 Collegial Behavioral Health, PLLC was last updated on October 17, 2019. 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.