Organization Active NPI

Center for Embodied Resilience & Wellness, PLLC

  • Psychologist
  • Chapel Hill, NC
National Provider Identifier
1871314252
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CENTER FOR EMBODIED RESILIENCE & WELLNESS, PLLC
Practice address
127 Kingston Dr Ste 206B
Chapel Hill, NC 27514-1650
Phone
(984) 999-0524
NPI assigned
Oct 18, 2024
Last updated
Oct 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Dr. Tausha Watson, PSYDNPI 1033583034
Title
Owner/Psychologist
Phone
(919) 606-7519

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
Psychologist 103T00000X Primary

Addresses

Primary practice location

127 Kingston Dr Ste 206B
Chapel Hill, NC 27514-1650

Mailing address

127 Kingston Dr Ste 206B
Chapel Hill, NC 27514-1650

National Provider Directory

National Provider Directory

Locations

127 Kingston Dr
Ste 206B
Chapel Hill, NC 27514
Phone (984) 999-0524

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": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1871314252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 KINGSTON DR STE 206B",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 KINGSTON DR STE 206B",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141650",
            "telephone_number": "984-999-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR EMBODIED RESILIENCE & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "TAUSHA",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "919-606-7519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_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 Oct 18, 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.