Organization Active NPI

Gregory a Welikson, PHD, PLLC

  • Psychologist
  • Chapel Hill, NC
National Provider Identifier
1205453388
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
GREGORY A WELIKSON, PHD, PLLC
Doing business as
Gregory A Welikson, PhD, PLLC
Practice address
1334 Daventry CT
Chapel Hill, NC 27517-9412
Phone
(919) 322-8498
NPI assigned
Jul 6, 2020
Last updated
Jul 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Gregory Andrew Welikson, PHDNPI 1326299546
Title
Psychologist
Phone
(919) 322-8498

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 NU Primary

Addresses

Primary practice location

1334 Daventry CT
Chapel Hill, NC 27517-9412

Mailing address

1334 Daventry CT
Chapel Hill, NC 27517-9412
Phone (919) 322-8498

Other names 1

  • Gregory A Welikson, PhD, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201026001725 NC Part B Supplier - Clinic/Group Practice 9335569664 Receives reassigned benefits from 1 practitioner
Practice locations: Chapel Hill, NC

National Provider Directory

National Provider Directory

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": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1205453388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 DAVENTRY CT",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179412",
            "telephone_number": "919-322-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 DAVENTRY CT",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179412",
            "telephone_number": "919-322-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY A WELIKSON, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "WELIKSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "919-322-8498",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gregory A Welikson, PhD, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.