The Clinical Evaluation and Resource Center, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1956 Issued in NC

Legal business name

THE CLINICAL EVALUATION AND RESOURCE CENTER, PLLC

Practice address

943 W Andrews Ave Ste P
Henderson, NC 27536-2587

Phone

(252) 430-1255

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Camilla E. Rogers, LPANPI 1699832857

Title

Director

Phone

(252) 430-1255

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Camilla Rogers, MA, LPA

  • Clinical Psychologist
  • Henderson, NC
  • NPI 1699832857
  NPD (past) Authorized official

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043414980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 W ANDREWS AVE STE P",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362587",
            "telephone_number": "252-430-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 W ANDREWS AVE STE P",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362587",
            "telephone_number": "252-430-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLINICAL EVALUATION AND RESOURCE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "CAMILLA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-430-1255",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005867",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tremanisha Rachell Taylor, MSW, LCSWA
• Vanness Henderson Taylor, LCSW-A
• Bonie Teal
• Karen Marie Teller, MS, CCC-SLP
• Candice Terlaje, R.D.
• Therapeutic Landscapes Home Care, LLC
• Therapeutic Landscapes, Inc.
• Therapeutic Specialties of North Carolina, PLLC
• Ericka Jasmine Thomas, LPCA
• Jacalyn Watson Thomas, PHD, LCAS

• Psychologist in Henderson, NC
• Providers in Henderson, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.