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 is a Geriatric Psychiatry Physician 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
Phone: (919) 443-2360
Fax: (919) 800-3039
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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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