Individual provider Active NPI

Michael F Zelson, PHD

  • Psychologist
  • Greensboro, NC
National Provider Identifier
1881638211
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1770 Issued in NC
Practice address
1904 N Church St
Greensboro, NC 27405-5632
Phone
(336) 271-4840
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1770 NC Primary

Addresses

Primary practice location

1904 N Church St
Greensboro, NC 27405-5632

Mailing address

PO Box 13605
Greensboro, NC 27415-3605
Phone (336) 271-4840

Other identifiers 4

IdentifierTypeStateIssuer
0420UOtherNCBCBS NC
25717OtherNCPARTNES MEDICARE CHOICE
7643291OtherNCAETNA
78118OtherNCMEDCOST

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101115000919 NC Practitioner - Clinical Psychologist 9032304118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Triangle Neuropsychology Services, PLLCGroup PAC ID 3173522901, 6 clinicians

Practice addresses (Care Compare)

3310 Croasdaile Dr
Suite 400
Durham, NC 27705-6806
Phone (919) 384-9682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1770NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation Psychologist CurrentSince May 1, 1997 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince May 1, 1997 Accepting new patients
Triangle Neuropsychology Services, PLLC CurrentSince Sep 25, 2017 Accepting new patients

Locations

3310 Croasdaile Dr
Ste 400
Durham, NC 27705
Phone (919) 284-9682

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1904 N Church St
Greensboro, NC 27405
Phone (336) 271-4840

510 N Elam Ave
Ste 302
Greensboro, NC 27403
Phone (336) 297-2271

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881638211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13605",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274153605",
            "telephone_number": "336-271-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055632",
            "telephone_number": "336-271-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELSON",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "0420U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNES MEDICARE CHOICE",
            "identifier": "25717",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7643291",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "78118",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.