Organization Active NPI

Connect Center for Wellness

  • Clinical Psychologist
  • Durham, NC
National Provider Identifier
1801169180
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3936 Issued in NC
Legal business name
CONNECT CENTER FOR WELLNESS
Practice address
1802 Martin Luther King Pkwy Ste 107
Durham, NC 27707-3586
Phone
(919) 908-9308
NPI assigned
Feb 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Janice L McGilberry, LPA, LCMHCSNPI 1104110162
Title
Owner
Phone
(919) 908-9308

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
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 3936 NC Primary

Addresses

Primary practice location

1802 Martin Luther King Pkwy Ste 107
Durham, NC 27707-3586

Mailing address

1802 MLK Pkwy
Durham, NC 27707-3586
Phone (919) 908-9308

Other practice location 1

511 S McMorrine St
Elizabeth City, NC 27909-4905
Phone (919) 908-9308

National Provider Directory

National Provider Directory

Locations

1802 Martin Luther King Pkwy
Durham, NC 27707

302 E Pettigrew St
Ste 140
Durham, NC 27701

511 S McMorrine St
Elizabeth City, NC 27909
Phone (919) 908-9308

Practitioners & affiliated clinicians

Practitioners 3

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": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1801169180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 MLK PKWY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073586",
            "telephone_number": "919-908-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 MARTIN LUTHER KING PKWY STE 107",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073586",
            "telephone_number": "919-908-9308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 S McMorrine St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279094905",
            "country_code": "US",
            "telephone_number": "919-908-9308",
            "fax_number": "919-287-2206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONNECT CENTER FOR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "MCGILBERRY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-908-9308",
        "authorized_official_credential": "LPA, LCMHCS"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.