Nicholas Pediaditakis in Raleigh - Child & Adolescent Psychiatry
Nicholas Pediaditakis - NPI 1093847568
Nicholas Pediaditakis is a Child & Adolescent Psychiatry in Raleigh, North Carolina. Nicholas Pediaditakis practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Nicholas Pediaditakis is 1093847568. The last update date is 2014-10-08.
Nicholas Pediaditakis's current location address is 5100 Lead Mine Rd, Raleigh, North Carolina. You can contact this provider via phone number 9197870710 and fax number 9197870710. The mailing address for Nicholas Pediaditakis is 5100 Lead Mine Rd, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicholas Pediaditakis |
|---|---|
| Address | 5100 Lead Mine Rd, Raleigh, North Carolina |
| Phone Number | 9197870710 |
| Fax Number | 9197870710 |
| Sole Proprietor | Y |
| Credentials | M.D., DLFA |
NPI Number Detail
| NPI Number | 1093847568 |
|---|---|
| Provider Enumeration Date | 2007-03-11 |
| Last Updated Date | 2014-10-08 |
Provider Mailing Address Detail
| Address | 5100 Lead Mine Rd |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276123436 |
| Phone Number | 9197870710 |
| Fax Number | 9197870710 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 13201 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 66509 | NC | BLUE CROSS BLUE SHIELD | |
| 8966509 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Nicholas Pediaditakis by the Centers for Medicare & Medicaid Services (CMS)?
The Nicholas Pediaditakis has been assigned the NPI (National Provider Identifier) 1093847568. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Nicholas Pediaditakis is located?
The Nicholas Pediaditakis is situated at the following address: 5100 Lead Mine Rd, Raleigh, NC, 276123436.
What is Nicholas Pediaditakis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Nicholas Pediaditakis is Child & Adolescent Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0804X.
On what date was the 1093847568 assigned to Nicholas Pediaditakis?
The Nicholas Pediaditakis was issued its 1093847568 on 2007-03-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Nicholas Pediaditakis last refreshed?
The information related to the Nicholas Pediaditakis, including its address, specialty, and other relevant details, was last updated on 2014-10-08.