Healthcare Provider Details
I. General information
NPI: 1033061684
Provider Name (Legal Business Name): TRIANGLE PARK BEHAVIORAL CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/13/2026
Last Update Date: 02/13/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5540 CENTERVIEW DR STE 204
RALEIGH NC
27606-8012
US
IV. Provider business mailing address
5540 CENTERVIEW DR STE 204
RALEIGH NC
27606-8012
US
V. Phone/Fax
- Phone: 919-756-6577
- Fax:
- Phone: 919-756-6577
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0005X |
| Taxonomy | Neurodevelopmental Disabilities Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0805X |
| Taxonomy | Geriatric Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CAROLINE
KRAFT
Title or Position: OWNER/PARTNER
Credential: PMHNP-BC
Phone: 919-756-6577