DR. WILLIAM EDWARD MOREDOCK PH.D.
NPI 1720167026
Psychologist - Clinical in Springfield, IL

Q: What is William Moredock's NPI number?

The NPI number for William Moredock is 1720167026. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Q: What is William Moredock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for William Moredock was last updated on July 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment

1200 W. WASHINGTON STREET, SPRINGFIELD, IL 62702(217) 787-1595 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. William Edward Moredock Ph.d. NPPES

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

DR. WILLIAM EDWARD MOREDOCK PH.D. (NPI 1720167026) is an individual clinical provider in Springfield, Illinois, licensed in Illinois (071.003906) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1720167026

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. WILLIAM EDWARD MOREDOCKCredential: PH.D.

Location Address1200 W. WASHINGTON STREETSpringfield, IL 62702-4794

Mailing Address4100 ChandlerwoodSpringfield, IL 62711-6081 · (217) 793-3612

Phone(217) 787-1595

Sole ProprietorYes

Medical School CMSOtherGraduated 1982

Enumeration DateNovember 6, 2006

Last NPPES UpdateJuly 1, 2013

✔ NPI 1720167026 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 IL · 071.003906

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.

1200 W. WASHINGTON STREET, Springfield, IL 62702

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Other Identifiers 4

Other255240IL · Healthlink

Other174554000IL · Magellan

Other08406629IL · Bcbsil

Other11443979IL · Caqh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. William Edward Moredock Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486716339

PECOS Enrollment IDI20081231000076

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.44 typical visit price

range $54.80 – $168.44

Typical copayment $42.11 (range $13.70 – $42.11)

Most-billed visit code 99205

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 William Moredock's NPI number?

The NPI number for William Moredock is 1720167026. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is William Moredock located?

William Moredock practices at 1200 W. Washington Street, Springfield, IL 62702. The listed phone number is (217) 787-1595.

What is William Moredock's specialty?

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

Is William Moredock enrolled in Medicare?

Yes. William Moredock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for William Moredock was last updated on July 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.