Individual provider Active NPI

Tausha Watson, PSY.D., RPT

  • Clinical Psychologist
  • Chapel Hill, NC
National Provider Identifier
1033583034
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5342 Issued in NC
Practice address
880 Martin Luther King Jr Blvd Ste 102
Chapel Hill, NC 27514
Phone
(984) 999-0524
NPI assigned
Nov 15, 2015
Last updated
Aug 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5342 NC Primary

Addresses

Primary practice location

880 Martin Luther King Jr Blvd Ste 102
Chapel Hill, NC 27514

Mailing address

880 Martin Luther King Jr Blvd Ste 102
Chapel Hill, NC 27514-2600

Other practice location 1

8730 Georgia Ave Ste 212
Silver Spring, MD 20910-3651
Phone (301) 960-3517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241113001714 NC Practitioner - Clinical Psychologist 4082996756 Reassigns benefits to 2 organizations
Practice locations: Chapel Hill, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

3117 Whiting Ave
Suite 5
Charlotte, NC 28205-1648
Phone (240) 201-3386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5342NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Jun 1, 2025 Accepting new patients
Sailor Health Medical PA CurrentSince Jan 2, 2026 Accepting new patients
Center for Embodied Resilience & Wellness, PLLC CurrentSince Oct 20, 2024 Accepting new patients

Locations

201 S Biscayne Blvd
Miami, FL 33131
Phone (833) 378-2552

127 Kingston Dr
Ste 206B
Chapel Hill, NC 27514
Phone (984) 999-0524

3117 Whiting Ave
Charlotte, NC 28205
Phone (980) 243-5595

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1033583034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 MARTIN LUTHER KING JR BLVD STE 102",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 MARTIN LUTHER KING JR BLVD STE 102",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27514",
            "telephone_number": "984-999-0524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8730 Georgia Ave Ste 212",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209103651",
            "country_code": "US",
            "telephone_number": "301-960-3517",
            "fax_number": "240-331-4863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TAUSHA",
        "credential": "PSY.D., RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-15",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.