Individual provider Active NPI

Gregory Andrew Welikson, PH.D.

  • Counseling Psychologist
  • Durham, NC
National Provider Identifier
1326299546
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
5233 Issued in NC
Practice address
3326 Durham Chapel Hill Blvd Ste 230
Durham, NC 27707-6239
Phone
(919) 286-3453
Fax
(919) 286-7033
NPI assigned
Oct 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 5233 NC Primary

Addresses

Primary practice location

3326 Durham Chapel Hill Blvd Ste 230
Durham, NC 27707-6239

Mailing address

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

Other practice location 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171115002276 NC Practitioner - Clinical Psychologist 4082970694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1334 Daventry CT
Chapel Hill, NC 27517-9412
Phone (919) 335-8736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory a Welikson, PHD, PLLC CurrentSince Jul 1, 2020 Accepting new patients
Main Street Clinical Associates, PA CurrentSince Sep 21, 2017 Accepting new patients

Locations

2828 Pickett Rd
Ste 250B
Durham, NC 27705
Phone (919) 286-3453

115 N Duke St
Ste 1B
Durham, NC 27701
Phone (919) 286-3453

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326299546",
    "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",
            "fax_number": "919-286-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 DURHAM CHAPEL HILL BLVD STE 230",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076239",
            "telephone_number": "919-286-3453",
            "fax_number": "919-286-7033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1334 Daventry Ct",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275179412",
            "country_code": "US",
            "telephone_number": "919-322-8498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELIKSON",
        "first_name": "GREGORY",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "5233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.