Emerald Eagle Healing Collective

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

EMERALD EAGLE HEALING COLLECTIVE

Practice address

6277 Calle de Hidalgo
Navarre, FL 32566-8927

Phone

(615) 600-7398

NPI assigned

Jul 11, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Tamara RaphaeliNPI 1255742748

Title

Ceo

Phone

(615) 600-7398

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.

• Tamara Raphaeli

  • Clinical Psychologist
  • Murfreesboro, TN
  • NPI 1255742748
  NPD Authorized official

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1346131018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6277 CALLE DE HIDALGO",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325668927",
            "telephone_number": "615-600-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6277 CALLE DE HIDALGO",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325668927",
            "telephone_number": "615-600-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD EAGLE HEALING COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "RAPHAELI",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-600-7398",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert James Elsas, DC
• Emerald Coast Direct Primary Care LLC
• Emerald Coast Healing Center, LLC
• Emerald Coast Home Living LLC
• Emerald Coast Psychotherapy LLC
• Emerald Waters Primary Care P.L.L.C.
• Emotion Mastery, LLC
• Dixie Eppolito, MS, LMHC
• Bethany Erb
• Allison Evans

• Psychologist in Navarre, FL
• Providers in Navarre, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.