Organization Active NPI

Arise Psychological Wellness and Consulting, PLLC

  • Psychologist
  • Chapel Hill, NC
National Provider Identifier
1093382574
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ARISE PSYCHOLOGICAL WELLNESS AND CONSULTING, PLLC
Practice address
401 Providence Rd Ste 200
Chapel Hill, NC 27514-2203
Phone
(919) 627-7057
NPI assigned
Jun 4, 2021
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Kristin P Wyatt, PHDNPI 1932649019
Title
Organizer & Member
Phone
(860) 803-6981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

401 Providence Rd Ste 200
Chapel Hill, NC 27514-2203

Mailing address

PO Box 821
Carrboro, NC 27510-0821
Phone (919) 627-7057

National Provider Directory

National Provider Directory

Locations

401 Providence Rd
Ste 200
Chapel Hill, NC 27514
Phone (501) 269-1148

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1093382574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275100821",
            "telephone_number": "919-627-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PROVIDENCE RD STE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142203",
            "telephone_number": "919-627-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE PSYCHOLOGICAL WELLNESS AND CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2023-09-06",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ORGANIZER & MEMBER",
        "authorized_official_telephone_number": "860-803-6981",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.