Organization Active NPI

Resilient Minds Telepsychiatry PLLC

  • Psychiatric/Mental Health Registered Nurse
  • Charlotte, NC
National Provider Identifier
1619560174
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
RESILIENT MINDS TELEPSYCHIATRY PLLC
Practice address
8400 Country Oaks Rd
Charlotte, NC 28227-5937
Phone
(980) 875-7263
NPI assigned
Feb 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Felicia Jenkins, PMHNP-BCNPI 1861046732
Title
Psychiatric Mental Health Nurse
Phone
(980) 875-7263

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
Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X Primary

Addresses

Primary practice location

8400 Country Oaks Rd
Charlotte, NC 28227-5937

Mailing address

8400 Country Oaks Rd
Charlotte, NC 28227-5937
Phone (980) 875-7263

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1619560174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 COUNTRY OAKS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282275937",
            "telephone_number": "980-875-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 COUNTRY OAKS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282275937",
            "telephone_number": "980-875-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT MINDS TELEPSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "PSYCHIATRIC MENTAL HEALTH NURSE",
        "authorized_official_telephone_number": "980-875-7263",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "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 Feb 16, 2021; 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.