ACTIFY NEUROTHERAPIES PLLC (NPI# 1275030355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275030355 |
| Entity Type | Organization |
| Organization Name | ACTIFY NEUROTHERAPIES PLLC |
| Practice Address |
3214 Charles B Root Wynd Ste 203 Raleigh NC 27612-5440 |
| Mailing Address |
800 Bunn Dr Ste 304 Princeton NJ 08540-1968 |
| Practice Telephone | 8885668774 |
| Mailing Telephone | 6096514429 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |
| Authorized Official Name | DR. STEVEN P LEVINE (MANAGING MEMBER) |
| Authorized Official Telephone | 6096514429 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
3214 CHARLES B ROOT WYND STE 203 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-5440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780651141 | Nicole Joslin | Nurse Practitioner | 3214 Charles B Root Wynd Ste 203, Raleigh, NC 27612-5440 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194237545 | North Raleigh Mental Health and Wellness, Pllc | Psychiatry & Neurology | 920d Paverstone Dr, Raleigh, NC 27615-4701 | 2017-10-25 |
| 1679978704 | J Lauren Suggs | Psychiatry & Neurology | 920 Paverstone Dr # D, Raleigh, NC 27615-4723 | 2014-10-31 |
| 1790196988 | Julia Tan | Psychiatry & Neurology | Unc Wakebrook 107 Sunnybrook Rd, Raleigh, NC 27610 | 2014-05-10 |
| 1912240425 | Lauren Michelle Townes Isbell | Psychiatry & Neurology | 1520 Sunday Dr Ste 320, Raleigh, NC 27607 | 2013-04-03 |
| 1073884789 | Melange Health Solutions, LLC | Psychiatry & Neurology | 4805 Green Rd, Suite 103, Raleigh, NC 27616-2848 | 2012-01-26 |
| 1811283500 | Michelle Samson Maust | Psychiatry & Neurology | 1130 Situs Ct Ste 190, Raleigh, NC 27606-5001 | 2011-06-22 |
| 1285928440 | Asa Lee Cordle | Psychiatry & Neurology | 3900 Browning Pl Ste 201, Raleigh, NC 27609-6530 | 2011-06-06 |
| 1477878437 | Fathima Farheen Reyman | Psychiatry & Neurology | 2321 Blue Ridge Rd Ste 102, Raleigh, NC 27607-6453 | 2010-04-02 |
| 1205158664 | North Raleigh Mental Health, Pa | Psychiatry & Neurology | 920 Paverstone Drive, Suite D, Raleigh, NC 27615 | 2010-02-25 |
| 1356522809 | Richard H Weisler | Psychiatry & Neurology | 700 Spring Forest Rd, Ste 125, Raleigh, NC 27609-9124 | 2007-11-26 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.