Organization Active NPI

Mosaic Center for Psychological Wholeness, PLLC

  • Psychologist
  • Chapel Hill, NC
National Provider Identifier
1831932540
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MOSAIC CENTER FOR PSYCHOLOGICAL WHOLENESS, PLLC
Practice address
1709 Legion Rd Ste 211
Chapel Hill, NC 27517-2374
Phone
(919) 893-2010
Fax
(919) 893-2011
NPI assigned
Jun 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Benjamin Christopher Andrews, PSY.D.
Title
Licensed Psychologist, Member
Phone
(919) 893-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1709 Legion Rd Ste 211
Chapel Hill, NC 27517-2374

Mailing address

1709 Legion Rd Ste 211
Chapel Hill, NC 27517-2374
Phone (919) 893-2010

National Provider Directory

National Provider Directory

Locations

1709 Legion Rd
Ste 211
Chapel Hill, NC 27517
Phone (239) 560-5226

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1831932540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 LEGION RD STE 211",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172374",
            "telephone_number": "919-893-2010",
            "fax_number": "919-893-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 LEGION RD STE 211",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172374",
            "telephone_number": "919-893-2010",
            "fax_number": "919-893-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC CENTER FOR PSYCHOLOGICAL WHOLENESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST, MEMBER",
        "authorized_official_telephone_number": "919-893-2010",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.