| Greenbrook Mental Wellness Centers | |
|
1500 Sunday Dr Ste 102 Raleigh NC 27607-5151 | |
| (855) 940-4867 | |
| (855) 721-4867 |
| Full Name | Greenbrook Mental Wellness Centers |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1500 Sunday Dr Ste 102, Raleigh, North Carolina |
| Authorized Official Name and Position | Patricia Willet (DIRECTOR OF MANAGED CARE) |
| Authorized Official Contact | 8557114867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenbrook Mental Wellness Centers Po Box 950546 Saint Louis MO 63195-0546 Ph: (855) 711-4867 | Greenbrook Mental Wellness Centers 1500 Sunday Dr Ste 102 Raleigh NC 27607-5151 Ph: (855) 940-4867 |
| NPI Number | 1477012813 |
|---|---|
| Provider Enumeration Date | 03/15/2019 |
| Last Update Date | 07/22/2026 |
| Certification Date | 07/22/2026 |
| Medicare PECOS PAC ID | 9931435070 |
|---|---|
| Medicare Enrollment ID | O20190726000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477012813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
| Provider Name | Rohima Davi Miah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942308234 PECOS PAC ID: 2365498334 Enrollment ID: I20050323000990 |
| Provider Name | Keshavpal Gunna Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942269766 PECOS PAC ID: 5092757617 Enrollment ID: I20050524001072 |
| Provider Name | Andrea Hernandez Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447450937 PECOS PAC ID: 8426101387 Enrollment ID: I20090725000129 |
| Provider Name | Kellie M Tolin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851373765 PECOS PAC ID: 4082767330 Enrollment ID: I20090804000164 |
| Provider Name | Jarrod Kanady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760713945 PECOS PAC ID: 3072786839 Enrollment ID: I20111024000565 |
| Provider Name | Susan G Myers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225118870 PECOS PAC ID: 5193991693 Enrollment ID: I20120109000351 |
| Provider Name | Marquita Wallace Boggess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326467945 PECOS PAC ID: 6204051162 Enrollment ID: I20140709000566 |
| Provider Name | Dorit Morecraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093121998 PECOS PAC ID: 8426277211 Enrollment ID: I20140909001872 |
| Provider Name | Amanda Leigh Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124530431 PECOS PAC ID: 1658639240 Enrollment ID: I20180104000225 |
| Provider Name | Jose Pablo Bogantes Montero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659508000 PECOS PAC ID: 2264733229 Enrollment ID: I20180904002480 |
| Provider Name | Brittany Guthrie Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881255891 PECOS PAC ID: 7416285523 Enrollment ID: I20190828001201 |
| Provider Name | May Ann Gaviola Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033661632 PECOS PAC ID: 0143502666 Enrollment ID: I20200129001176 |
| Provider Name | Tanvir Iqbal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902248073 PECOS PAC ID: 1355681420 Enrollment ID: I20200306000428 |
| Provider Name | Mitchell Whigham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659027217 PECOS PAC ID: 8022496132 Enrollment ID: I20220825003607 |
| Provider Name | Keertan G Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114411105 PECOS PAC ID: 8426305228 Enrollment ID: I20221026000401 |
| Provider Name | Michael Lee Redmond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609221084 PECOS PAC ID: 5991098337 Enrollment ID: I20231115001798 |
| Provider Name | Kristen Gialo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659647220 PECOS PAC ID: 2961700174 Enrollment ID: I20231115002758 |
| Provider Name | Rebecca Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477848729 PECOS PAC ID: 0648440545 Enrollment ID: I20231120003374 |
| Provider Name | Sidney Paige Sheerin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346095650 PECOS PAC ID: 8224573654 Enrollment ID: I20240710002293 |
| Provider Name | Mark Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366864050 PECOS PAC ID: 1456885631 Enrollment ID: I20241111001740 |
| Provider Name | Latonya Shari Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144060393 PECOS PAC ID: 5698285989 Enrollment ID: I20250606000436 |
| Provider Name | Mary Ewing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073652004 PECOS PAC ID: 9739375346 Enrollment ID: I20260316003429 |
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