JOHN PAUL BRUNELLE PH.D.
NPI 1891027819
Psychologist in Charlotte, NC

Active since February 01, 2010PECOS Enrolled
4741 RANDOLPH RD STE 100, CHARLOTTE, NC 28211(704) 365-6730(704) 365-6731 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2022, Sep 13, 2022 (2 updates tracked since 2022).

About John Paul Brunelle Ph.d. NPPES

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

JOHN PAUL BRUNELLE PH.D. (NPI 1891027819) is an individual psychologist in Charlotte, North Carolina, licensed in North Carolina (4190) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1891027819
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJOHN PAUL BRUNELLECredential: PH.D.
Location Address4741 RANDOLPH RD STE 100Charlotte, NC 28211-2919
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 365-6730 · Fax (704) 365-6731
Fax(704) 365-6731
Sole ProprietorNo
Enumeration DateFebruary 1, 2010
Last NPPES UpdateOctober 18, 20222 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
NPI 1891027819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in NC · 4190 Licensed in DE · B1-0000738
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4741 RANDOLPH RD STE 100, Charlotte, NC 28211

Secondary Practice Location 1

Location 11521 Concord Pike, Suite 103Wilmington, DE 19803-3642 · Phone (302) 428-0205 ext. 35

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Paul Brunelle Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 12

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

Orthopaedic Surgery
4741 RANDOLPH RD STE 100
CHARLOTTE, NC 28211
Orthopaedic Surgery
4741 RANDOLPH RD STE 100
CHARLOTTE, NC 28211
Orthopaedic Surgery
4741 RANDOLPH RD STE 100
CHARLOTTE, NC 28211
Physician Assistant
4741 RANDOLPH RD STE 100
CHARLOTTE, NC 28211
Physician Assistant
4741 RANDOLPH RD STE 100
CHARLOTTE, NC 28211
Orthopaedic Surgery
4741 RANDOLPH RD STE 100
CHARLOTTE, NC 28211
Psychologist
4741 RANDOLPH RD STE 100
CHARLOTTE, NC 28211
Physician Assistant
4741 RANDOLPH RD STE 100
CHARLOTTE, NC 28211

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 John Brunelle's NPI number?

The NPI number for John Brunelle is 1891027819. It was assigned to this individual provider in the NPPES registry on February 1, 2010.

Where is John Brunelle located?

John Brunelle practices at 4741 Randolph Rd Ste 100, Charlotte, NC 28211. The listed phone number is (704) 365-6730.

What is John Brunelle's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is John Brunelle enrolled in Medicare?

Yes. John Brunelle is registered in the Medicare PECOS enrollment system.

What insurance does John Brunelle accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list John Brunelle 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 John Brunelle was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.