Individual provider Active NPI

Rebecca Mae Sewell, LP

  • Psychologist
  • Charlotte, NC
National Provider Identifier
1053867051
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6570 Issued in NC
Practice address
15801 Brixham Hill Ave Ste 475
Charlotte, NC 28277-0878
Phone
(704) 251-9084
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6570 NC
Clinical Psychologist 103TC0700X P08081 OH
Psychologist 103T00000X 6570 NC Primary

Addresses

Primary practice location

15801 Brixham Hill Ave Ste 475
Charlotte, NC 28277-0878

Mailing address

15801 Brixham Hill Ave Ste 475
Charlotte, NC 28277-0878
Phone (704) 251-9084

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
I20260317002905 NC Practitioner - Clinical Psychologist 4587084645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Carolinas PLLCGroup PAC ID 6002304615, 4 clinicians

Practice addresses (Care Compare)

15801 Brixham Hill Ave
Suite 475
Charlotte, NC 28277-0878
Phone (704) 251-9084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P08081OHMDClinical Psychologist
6570NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Carolinas PLLC Psychologist CurrentSince Feb 2, 2026 Accepting new patients

Locations

15801 Brixham Hill Ave
Ste 475
Charlotte, NC 28277
Phone (704) 251-9084

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1053867051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15801 BRIXHAM HILL AVE STE 475",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770878",
            "telephone_number": "704-251-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15801 BRIXHAM HILL AVE STE 475",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770878",
            "telephone_number": "704-251-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "REBECCA",
        "middle_name": "MAE",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "6570",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P08081",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "6570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.