UNC WAKEBROOK (NPI# 1841676533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841676533 |
| Entity Type | Organization |
| Organization Name | UNC WAKEBROOK |
| Practice Address |
107 Sunnybrook Rd Raleigh NC 27610-1827 |
| Practice Telephone | 9849744863 |
| Practice Fax Number | 9849744911 |
| Mailing Telephone | 9849744863 |
| Mailing Fax Number | 9849744911 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |
| Authorized Official Name | NEIDA RODRIGUES (CLINICAL INSTRUCTOR) |
| Authorized Official Telephone | 9849744863 |
| Authorized Official Credential | MSW, LCAS-A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | NC | Hospital Units |
| Street Address |
107 SUNNYBROOK RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854730 | Joseph Balla | Psychiatry & Neurology | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2005-07-11 |
| 1750908430 | William Harold Smith | Nurse Practitioner | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2020-06-29 |
| 1598391666 | Marissa Lauren Jones | Recreation Therapist | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2020-03-20 |
| 1790310274 | Adepeju Adeola Bolaji | Registered Nurse | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2020-03-05 |
| 1326680851 | Martha Hawkins | Counselor | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2019-10-16 |
| 1043852957 | Jonathan Conyers Levine | Social Worker | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2019-10-11 |
| 1477109940 | Lisa Beresnyak | Counselor | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2019-08-12 |
| 1720646227 | Nicole Ann Stoneback | Registered Nurse | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2019-05-31 |
| 1942706981 | Pamela Petack Dingman | Occupational Therapy Assistant | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2018-03-30 |
| 1093234460 | Crystal Elizabeth Russell | Counselor | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2017-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073634879 | Frye Regional Medical Center | Rehabilitation, Substance Use Disorder Unit | 2850 Tate Blvd Se, Hickory, NC 28602-1450 | 2007-04-02 |
| 1891754412 | Asheville Veteran Medical Center | Rehabilitation, Substance Use Disorder Unit | 1100 Tunnel Rd, Asheville, NC 28805-2043 | 2006-03-22 |
Please comment or provide details below to improve the information on UNC WAKEBROOK.
| 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.