Organization Active NPI

Emotionally Rewired, LLC

Doing business as The Brain-Hack Cafe by Emotionally Rewired, LLC

  • Mental Health Counselor
  • Morrisville, PA
National Provider Identifier
1760254650
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMOTIONALLY REWIRED, LLC
Doing business as
The Brain-Hack Cafe by Emotionally Rewired, LLC
Practice address
25 E Bridge St
Morrisville, PA 19067-7129
Phone
(267) 797-5029
NPI assigned
Oct 25, 2023
Last updated
Feb 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Melissa Anne Tatar-Pickersgill, MS, LPC, NCCNPI 1114706470
Title
Founder/Licensed CMH Counselor
Phone
(267) 577-1155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU
Mental Health Counselor 101YM0800X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

25 E Bridge St
Morrisville, PA 19067-7129

Mailing address

115 Liberty St
Newtown, PA 18940-2024
Phone (267) 577-1155

Other practice location 1

115 Liberty St
Newtown, PA 18940-2024
Phone (267) 577-1155

Other names 1

  • The Brain-Hack Cafe by Emotionally Rewired, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

25 E Bridge St
Morrisville, PA 19067
Phone (267) 797-5029

Practitioners & affiliated clinicians

Practitioners 1

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": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1760254650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LIBERTY ST",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189402024",
            "telephone_number": "267-577-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E BRIDGE ST",
            "city": "MORRISVILLE",
            "state": "PA",
            "postal_code": "190677129",
            "telephone_number": "267-797-5029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189402024",
            "country_code": "US",
            "telephone_number": "267-577-1155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMOTIONALLY REWIRED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "TATAR-PICKERSGILL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "FOUNDER/LICENSED CMH COUNSELOR",
        "authorized_official_telephone_number": "267-577-1155",
        "authorized_official_credential": "MS, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Brain-Hack Cafe by Emotionally Rewired, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morrisville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.