| Cedar Mount Behavioral Health, Pa | |
|
1033 Dresser Ct Raleigh NC 27609-7323 | |
| (919) 332-1641 | |
| Not Available |
| Full Name | Cedar Mount Behavioral Health, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1033 Dresser Ct, Raleigh, North Carolina |
| Authorized Official Name and Position | David Mbugua Gacengeci (PRESIENT) |
| Authorized Official Contact | 9194174322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Mount Behavioral Health, Pa 9650 Strickland Rd Ste 103-432 Raleigh NC 27615-1902 Ph: (919) 332-1641 | Cedar Mount Behavioral Health, Pa 1033 Dresser Ct Raleigh NC 27609-7323 Ph: (919) 332-1641 |
| NPI Number | 1982708095 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 09/02/2025 |
| Certification Date | 11/20/2024 |
| Medicare PECOS PAC ID | 5193721199 |
|---|---|
| Medicare Enrollment ID | O20061016000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982708095 | NPI | - | NPPES |
| 891301N | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 200101550 (North Carolina) | Primary |
| Provider Name | David M Gacengeci |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942269592 PECOS PAC ID: 8921004920 Enrollment ID: I20061016000168 |
| Provider Name | Imelda Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508140237 PECOS PAC ID: 6204209604 Enrollment ID: I20250117000911 |
| Provider Name | Mary Mwihaki Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932976214 PECOS PAC ID: 0345778635 Enrollment ID: I20250124001388 |
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