Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

North Carolina Elderly Psychiatric

Organization Geriatric Psychiatry Physician · NPI 1548535107

North Carolina Elderly Psychiatric provides Geriatric Psychiatry Physician services in Raleigh, North Carolina. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

606 Wade Ave
Raleigh, NC 27605-1390 Not confirmed with CMS for 14 years — call before visiting
Phone: (919) 443-2360
Fax: (919) 800-3039
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Psychiatry Physician (primary) Taxonomy 2084P0805X

Record details

NPI number1548535107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Mangano — Chief Operating Officer · (919) 443-2360
NPI enumeratedMarch 15, 2012
Last updated in NPPESApril 18, 2012
Mailing address606 Wade Ave, Raleigh, NC 27605-1390

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