Elon Psychological & Wellness Services, PLLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

4989 Issued in NC

Legal business name

ELON PSYCHOLOGICAL & WELLNESS SERVICES, PLLC

Practice address

1183 University Dr
Suite 105 #1016
Burlington, NC 27215

Phone

(336) 202-6634

NPI assigned

Feb 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Marie ShawNPI 1528505534

Title

Psychologist

Phone

(743) 218-0720

Specialties & licenses 1

Addresses

Practitioners 1

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

• Marie Shaw, HSP-P

  • Counseling Psychologist
  • Elon, NC
  • NPI 1528505534
  NPD Authorized official

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1255831707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 UNIVERSITY DR",
            "address_2": "SUITE 105 #1016",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "27215",
            "telephone_number": "743-218-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 UNIVERSITY DR",
            "address_2": "SUITE 105 #1016",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "27215",
            "telephone_number": "336-202-6634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 E Trollinger Ave",
            "address_purpose": "LOCATION",
            "city": "Elon",
            "state": "NC",
            "postal_code": "272449428",
            "country_code": "US",
            "telephone_number": "743-218-0720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELON PSYCHOLOGICAL & WELLNESS SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "743-218-0720",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "4989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Martin Efird, LCSWA
• Pamela J Eldridge, CRNA
• Elizabeth G. Hodge, MSP, CCC-SLP, PC
• Sonja Downes Ellington, MS, CRC, LPC
• Robert T. Elliott, M.D.
• Elon Psychology PLLC
• Scott C Elston, M.D.
• Kholoud Eltoukhy
• Emergeortho, PA
• Emergeortho, PA

• Counseling Psychologist in Burlington, NC
• Providers in Burlington, NC by specialty
• Counseling Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.