William Maxwell Acree, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3219 Issued in NC

Practice address

140 Kimel Park Dr Ste 200
Winston Salem, NC 27103-6185

Phone

(336) 718-7250

Fax

(336) 718-7260

NPI assigned

Jun 5, 2006

Last updated

Dec 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 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

Group practices

Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Novant Health Medical Group, LLC

  dba Novant Health Pediatric Neurology & Sleep

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment Care Compare group NPD
• Novant Health Medical Group, LLC

  dba Novant Health Memory Care

  • Neurology Physician
  • Winston Salem, NC
  • NPI 1134656143
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Elizabeth OB/GYN

  • Obstetrics & Gynecology Physician
  • Matthews, NC
  • NPI 1386506137
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Neurology

  • Neurology Physician
  • Shallotte, NC
  • NPI 1568901254
  NPD
• Carolinas Counseling Solutions Inc.

  • Mental Health Counselor
  • Statesville, NC
  • NPI 1437388766
  NPD (past)
• Lecci Psychological Services, PLLC

  dba MARS Memory Health Network

  • Psychologist
  • Wilmington, NC
  • NPI 1811976426
  NPD (past)
• Mental Health Provider Services LLC

  dba MHPS LLC

  • Psychologist
  • Statesville, NC
  • NPI 1679708721
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1821037144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 KIMEL PARK DR STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036185",
            "telephone_number": "336-718-7250",
            "fax_number": "336-718-7260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6614 Shallowford Rd",
            "address_2": "Suite #250",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "NC",
            "postal_code": "270239303",
            "country_code": "US",
            "telephone_number": "336-946-1398",
            "fax_number": "336-946-1465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Kimel Park Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271036160",
            "country_code": "US",
            "telephone_number": "336-718-7300",
            "fax_number": "336-718-7309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Kimel Park Dr Ste 121",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271036946",
            "country_code": "US",
            "telephone_number": "336-718-7300",
            "fax_number": "336-718-7309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACREE",
        "first_name": "WILLIAM",
        "middle_name": "MAXWELL",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821037144",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wacree262007@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "6614 Shallowford Rd",
            "address_2": "Suite #250",
            "city": "Lewisville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270239303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wacree262007@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "140 Kimel Park Dr Ste 200",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271036185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gabriele E Achatz-Lewis, CO, LO
• Eboni Tri'Nae Acoff, MD
• Alejandro Emilio Acosta Mendoza
• Ernesto Acosta, NP
• Indrani Enid Acosta, M.D.
• Avery Acuff, MD
• Olanrewaju Kayode Adabale, MD
• Andrew Charles Adair, M.D.
• Cheryl Adair, CRNA
• Norman Eugene Adair, MD

• Psychologist in Winston Salem, NC
• Providers in Winston Salem, 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 26, 2023; 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.