Active NPI
Peter Lielbriedis, PSY.D.
- Clinical Psychologist
- Williamsburg, VA
National Provider Identifier
1063681666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810002781
- Practice address
- 4601 Ironbound Road
8791
Williamsburg, VA 23187-8791 - Phone
- (757) 253-5244
- NPI assigned
- Feb 27, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810002781 | VA | Primary |
Addresses
Primary practice location
4601 Ironbound Road
8791
Williamsburg, VA 23187-8791
Mailing address
102 Marcy Dr
Yorktown, VA 23693-2039
Phone (757) 599-4698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260602000122 | VA | Order and Referring Only - Clinical Psychologist | 6800076548 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1063681666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 MARCY DR",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236932039",
"telephone_number": "757-599-4698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 IRONBOUND ROAD",
"address_2": "8791",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231878791",
"telephone_number": "757-253-5244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIELBRIEDIS",
"first_name": "PETER",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-27",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810002781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, VA
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- Soomi Krystia Lim, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.