Active NPI
William Reed Brassell Jr., PH.D.
- Clinical Psychologist
- Lenoir, NC
National Provider Identifier
1689887408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0398
- Practice address
- 226 Morganton Blvd SW
Suite I
Lenoir, NC 28645-5225 - Phone
- (828) 757-3839
- Fax
- (828) 757-3839
- NPI assigned
- May 8, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0398 | NC | Primary |
Addresses
Primary practice location
226 Morganton Blvd SW
Suite I
Lenoir, NC 28645-5225
Mailing address
226 Morganton Blvd SW
Suite I
Lenoir, NC 28645-5225
Phone (828) 757-3839
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6115453 | Other | NC | UNITED BEHAVIORAL HEALTH |
| 0315F | Other | NC | BCBS OF NORTH CAROLINA |
| 5644172 | Other | NC | AETNA |
| C4531 | Other | NC | MEDCOST |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0398 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689887408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 MORGANTON BLVD SW",
"address_2": "SUITE I",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455225",
"telephone_number": "828-757-3839",
"fax_number": "828-757-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 MORGANTON BLVD SW",
"address_2": "SUITE I",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455225",
"telephone_number": "828-757-3839",
"fax_number": "828-757-3839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASSELL",
"first_name": "WILLIAM",
"middle_name": "REED",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "0398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6115453",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NORTH CAROLINA",
"identifier": "0315F",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5644172",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "C4531",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lenoir, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.