TC Wellness Practice

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TC WELLNESS PRACTICE

Practice address

84 Highland Ave Ste 304
Salem, MA 01970-2733

Phone

(978) 624-6245

Fax

(978) 219-2238

NPI assigned

Mar 21, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Therese D ChapajongNPI 1902363138

Title

Nurse Practitioner

Phone

(978) 624-6245

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Therese D Chapajong

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynn, MA
  • NPI 1902363138
  NPD Authorized official

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1982464475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HIGHLAND AVE STE 304",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702733",
            "telephone_number": "978-624-6245",
            "fax_number": "978-219-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 HIGHLAND AVE STE 304",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702733",
            "telephone_number": "978-624-6245",
            "fax_number": "978-219-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TC WELLNESS PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "CHAPAJONG",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "978-624-6245",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Kelley Tavis, RPH
• Carol G Taylor, EDD
• Grace Taylor
• Janice E Taylor, M.A.
• Kristin Taylor, NP
• Wendys Charissa Tejeda
• Elizabeth Tener, LICSW
• Ellen G Terry
• Danielle Tetrault
• Marleigh Marie Tetreault

• Psychiatric/Mental Health Nurse Practitioner in Salem, MA
• Providers in Salem, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.