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

Wakemed Faculty Practice Plan

Organization Psychologist · NPI 1396791786

Wakemed Faculty Practice Plan is a Psychologist in Raleigh, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
14
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Practice location Address checks out

3024 New Bern Ave Ste 300
Raleigh, NC 27610-1247
Phone: (919) 350-8228
Fax: (919) 350-7976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Psychologist Taxonomy 103T00000X
Dentist Taxonomy 122300000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatrics Physician Taxonomy 208000000X
Psychiatry Physician Taxonomy 2084P0800X
Urology Physician Taxonomy 208800000X
Hospitalist Physician Taxonomy 208M00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1396791786
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Cinoman — Vp, Wakemed Faculty Physicians · (919) 350-8228
Other names Wakemed Faculty Physicians
NPI enumeratedMay 26, 2006
Last updated in NPPESJanuary 9, 2009
Mailing address3024 New Bern Ave, Suite 300, Raleigh, NC 27610-1247

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