DR. MADELEINE CROCKETT PH.D.
NPI 1447254719
Psychologist - Clinical in Chapel Hill, NC

Q: What is Madeleine Crockett's NPI number?

The NPI number for Madeleine Crockett is 1447254719. It was assigned to this individual provider in the NPPES registry on June 2, 2005.

Q: What is Madeleine Crockett's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Madeleine Crockett enrolled in Medicare?

No. Madeleine Crockett has opted out of Medicare through July 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since June 02, 2005Opted out of Medicare · through Jul 12, 2028

120 PROVIDENCE RD, STE 102, CHAPEL HILL, NC 27514(919) 401-3680 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Dr. Madeleine Crockett Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MADELEINE CROCKETT PH.D. (NPI 1447254719) is an individual clinical provider in Chapel Hill, North Carolina, licensed in North Carolina (2129) and active in the NPI registry since June 2005. She has opted out of Medicare through July 12, 2028.

NPPES Registry Identity

NPI1447254719

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MADELEINE CROCKETTCredential: PH.D.

Location Address120 PROVIDENCE RD, STE 102Chapel Hill, NC 27514-2273

Mailing Address120 Providence Rd, Ste 102Chapel Hill, NC 27514-2273 · (919) 401-3680

Phone(919) 401-3680

Sole ProprietorYes

Enumeration DateJune 2, 2005

Last NPPES UpdateAugust 14, 2007

✔ NPI 1447254719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NC · 2129

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

120 PROVIDENCE RD, Chapel Hill, NC 27514

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Other Identifiers 3

Other03986NC · Blue Cross Blue Shield

Medicaid6000386NC

Medicare ID-Type Unspecified2821418NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Madeleine Crockett Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 12, 2022 through July 12, 2028.

Opt-Out Effective DateJuly 12, 2022

Opt-Out In Effect ThroughJuly 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELBY ELIZABETH JANE CESARIO

Social Worker (Clinical)

120 PROVIDENCE RD
CHAPEL HILL, NC 27514

Orange County (703) 470-2243

KRISTIN DEWAN LCMHC

Counselor (Mental Health)

120 PROVIDENCE RD
CHAPEL HILL, NC 27514

Orange County (919) 276-0154

MR. DALE L ROBERTS M.A.

Counselor (Mental Health)

120 PROVIDENCE RD, SUITE 102
CHAPEL HILL, NC 27514

Orange County (919) 721-7320

DR. ELIZABETH J MITCHELL PT, DPT

Physical Therapist

120 PROVIDENCE RD, STE 200
CHAPEL HILL, NC 27514

Orange County (919) 408-0984

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madeleine Crockett's NPI number?

The NPI number for Madeleine Crockett is 1447254719. It was assigned to this individual provider in the NPPES registry on June 2, 2005.

Where is Madeleine Crockett located?

Madeleine Crockett practices at 120 Providence Rd Ste 102, Chapel Hill, NC 27514. The listed phone number is (919) 401-3680.

What is Madeleine Crockett's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Madeleine Crockett enrolled in Medicare?

No. Madeleine Crockett has opted out of Medicare through July 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Madeleine Crockett accept?

Health plans from Blue Cross and Blue Shield of NC list Madeleine Crockett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Madeleine Crockett was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.