William J. Albrecht Jr., PH.D
Individual provider Active NPI Clinical Psychologist · Greenville, NC
NPI 1528029022 · NPPES record last updated Mar 10, 2015
Key facts
- NPI
- 1528029022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2474 (NC)
- Practice address
- 2459 Emerald PL
Suite 102
Greenville, NC 27834-5739 - Phone
- (252) 757-3939
- NPI assigned
- Apr 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Raleigh Durham Medical Group PA
Carolina Clinic for Health and Wellness PA
Practice addresses (Care Compare)
2414 Emerald PL
Greenville, NC 27834-5784
Phone (252) 757-3939
2459 Emerald PL
Suite 102
Greenville, NC 27834-5739
Phone (252) 757-3939
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091218000453 | NC | Practitioner - Clinical Psychologist | 0941340129 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2474 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Clinic for Health and Wellness PA | Current |
Accepting new patients | |
| Raleigh Durham Medical Group PA | Current |
Accepting new patients | |
| Raleigh Durham Medical Group PA | Current |
Accepting new patients | |
| Health Access Inc. | Past | Accepting new patients |
Locations
97 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-0993
2414 Emerald Pl
Greenville, NC 27834
Phone (252) 355-7805
2459 Emerald Pl
Ste 102
Greenville, NC 27834
Phone (252) 695-0424
7124 US Highway 64 E
Knightdale, NC 27545
Phone (919) 266-6211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2474 | NC | Yes |
Addresses
Primary practice location
2459 Emerald PL
Suite 102
Greenville, NC 27834-5739
Mailing address
2459 Emerald PL
Suite 102
Greenville, NC 27834-5739
Phone (252) 757-3939
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0429F | Other | NC | BCBS |
| 2351764 | Other | NC | MEDICARE PTAN |
| 561396133 | Other | NC | AETNA |
| 2815001 | Other | NC | MEDICARE |
| 015WA | Other | NC | BCBS |
| 561396133 | Other | NC | CIGNA HEALTHCARE |
| 561396133 | Other | NC | TRICARE |
Other providers in Greenville, NC
- Ashna Alam
- Hasan Albasha
- Albemarle Orthotics & Prosthetics, Inc
- Marcus S Albernaz
- Karen Albrecht
- Hope Ann Albritton
- Autumn Alcorn
- Mark E Alden
- Emma Alderman
- Lashonda Alderman
All providers in Greenville, NC · Clinical Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.