David Wesley Kleinschuster, PSY. D, M.ED, M.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3186 Issued in NC

Practice address

400 S Water St
Suite 202
Elizabeth City, NC 27909-4965

Phone

(252) 338-0098

Fax

(252) 335-1493

NPI assigned

Oct 3, 2006

Last updated

Dec 30, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education, Master of Arts

State licenses

Practice roles

Locations

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

• Albemarle Psychological Innovations, PLLC

  • Psychologist
  • Elizabeth City, NC
  • NPI 1861672552
  Medicare reassignment NPD Authorized official
• Albemarle Mental Health Center

  • Mental Health Counselor
  • Elizabeth City, NC
  • NPI 1013012400
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1437243086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S WATER ST",
            "address_2": "SUITE 202",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094965",
            "telephone_number": "252-338-0098",
            "fax_number": "252-335-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S WATER ST",
            "address_2": "SUITE 202",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094965",
            "telephone_number": "252-338-0098",
            "fax_number": "252-335-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINSCHUSTER",
        "first_name": "DAVID",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "PSY. D, M.ED, M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "046WC",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000844",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• King Podiatry and Associates PLLC
• Debracca King, FNP-C
• Kathryn Jones King, MD
• Richard Christian King, D.P.M.
• Paul Andrew Kizen, MD
• Holly Demarest Kockler, RN, FNP-BC
• Jenna Nicole Kockott
• Jamie Koller
• Vincent J Kopp, MD
• Jennifer Ashley Kramer, M.S. CCC-SLP

• Psychologist in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.