Active NPI
Rebecca Mae Sewell, LP
- Psychologist
- Charlotte, NC
National Provider Identifier
1053867051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6570
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| P08081 | OH | MD | Clinical Psychologist |
| 6570 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Carolinas PLLC | Psychologist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.