Active NPI
Michael F Zelson, PHD
- Psychologist
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1770
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0420U | Other | NC | BCBS NC |
| 25717 | Other | NC | PARTNES MEDICARE CHOICE |
| 7643291 | Other | NC | AETNA |
| 78118 | Other | NC | MEDCOST |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1770 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Moses H Cone Memorial Hospital Operating Corporation | Psychologist | Current | Accepting new patients |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Triangle Neuropsychology Services, PLLC | Current | 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.
-
- Clinical Neuropsychologist
- Durham, NC
- NPI 1689625386
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1356372064
Psychologist
-
dba Cone Health Community Pharmacy at Eden
- Community/Retail Pharmacy
- Eden, NC
- NPI 1861222507
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
- 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.
- 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.