Albemarle Psychological Innovations, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3186 Issued in NC

Legal business name

ALBEMARLE PSYCHOLOGICAL INNOVATIONS, PLLC

Practice address

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

Phone

(252) 338-0098

NPI assigned

Nov 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Wesley Kleinschuster, PSY. D.NPI 1437243086

Title

Psychologist

Phone

(252) 338-0098

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

  • Psychologist
  • Elizabeth City, NC
  • NPI 1437243086
  Medicare reassignment NPD Authorized official
• Carolyn Louise Hoidal

  • Professional Counselor
  • Elizabeth City, NC
  • NPI 1912251075
  NPD (past)
• Linda Joyce Wasielewski, NCC LPCA

  • Mental Health Counselor
  • Elizabeth City, NC
  • NPI 1326489766
  NPD (past)

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1861672552",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE PSYCHOLOGICAL INNOVATIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "KLEINSCHUSTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "252-338-0098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albemarle Physician Services - Sentara, Inc (Sentara Family Medicine Physicians)
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• Albemarle Physician Services - Sentara, Inc (Sentara Pediatric Physicians)
• Albemarle Physician Services - Sentara, Inc (Sentara Surgery Specialists)
• Albemarle Physician Services- Sentara, Inc. (Sentara Critical Care Specialists)
• Albemarle Psychological Services
• Albemarle Pulmonary Medicine Associates
• Albemarle Regional Health Services
• Albemarle Regional Health Services
• Albemarle Regional Health Services (Children's Developmental Services Agency)

• 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 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.