NPIMap

Individual provider Active NPI

William Korotitsch

  • Psychologist
  • Greensboro, NC
National Provider Identifier
1336478676
Registry record updated Feb 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2316 Issued in NC
Practice address
2211 W Meadowview Rd
Suite 114
Greensboro, NC 27407-3409
Phone
(336) 855-4649
Fax
(336) 855-4645
NPI assigned
Dec 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2316 NC Primary

Addresses

Primary practice location

2211 W Meadowview Rd
Suite 114
Greensboro, NC 27407-3409

Mailing address

2211 W Meadowview Rd
Suite 114
Greensboro, NC 27407-3409
Phone (336) 855-4649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2316NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Psychological Past Accepting new patients
Cloyd Psychological Services, PLLC Psychologist Past Accepting new patients
Edward Franklyn Morris PastSince Oct 19, 2016 Accepting new patients

Organizations & group practices 3

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": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423267200000",
    "number": "1336478676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 W MEADOWVIEW RD",
            "address_2": "SUITE 114",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073409",
            "telephone_number": "336-855-4649",
            "fax_number": "336-855-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 W MEADOWVIEW RD",
            "address_2": "SUITE 114",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073409",
            "telephone_number": "336-855-4649",
            "fax_number": "336-855-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROTITSCH",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-16",
        "last_updated": "2015-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2015; 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.