Beata Anna Krembuszewski, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810008765 Issued in VA

Practice address

2108 Laurel Valley Way
Raleigh, NC 27604-8446

Phone

(847) 989-4250

NPI assigned

Apr 21, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 27, 2025 through Jul 27, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1992592232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E FRANKLIN ST # 1003",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 LAUREL VALLEY WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276048446",
            "telephone_number": "847-989-4250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 E Franklin St # 1003",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275145851",
            "country_code": "US",
            "telephone_number": "919-525-1873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREMBUSZEWSKI",
        "first_name": "BEATA",
        "middle_name": "ANNA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "VA",
            "license": "0810008765",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810008765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Lynn Krcal, PT
• Colleen Shawn Kreig, PHD
• Melanie Marie Kreiner, MD
• Joyce Katonah Kreis
• Kathryn Ann Kreis, AGNP -C
• Micah Hooper Krempasky, MD
• Jeffrey Matthew Krepps, PH.D.
• Melissa Marie Kress, NP
• Michael Craig Kretchmer, D.D.S., M.S.
• Tammy Helen Kreuzer, MD

• Clinical Psychologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.