Healthcare Provider Details

I. General information

NPI: 1548293723
Provider Name (Legal Business Name): SHARYN M. COMEAU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4515 FALLS OF NEUSE RD
RALEIGH NC
27609-6290
US

IV. Provider business mailing address

13251 FALLS OF NEUSE RD STE 121
RALEIGH NC
27614-8573
US

V. Phone/Fax

Practice location:
  • Phone: 919-238-6760
  • Fax: 919-238-6760
Mailing address:
  • Phone: 919-785-5055
  • Fax: 984-235-1617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number200000385
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2000-00385
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier891266E
Identifier TypeMEDICAID
Identifier StateNC
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: