DR. GEROLF ENGELSTATTER PHD
NPI 1932185477
Psychologist in Jacksonville, NC

Active since December 16, 2005PECOS EnrolledAccepts Medicare Assignment
1703 COUNTRY CLUB RD, SUITE 204, JACKSONVILLE, NC 28546(910) 347-3010(910) 347-3201 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gerolf Engelstatter Phd NPPES

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

DR. GEROLF ENGELSTATTER PHD (NPI 1932185477) is an individual psychologist in Jacksonville, North Carolina, licensed in North Carolina (1140) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1932185477
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. GEROLF ENGELSTATTERCredential: PHD
Location Address1703 COUNTRY CLUB RD, SUITE 204Jacksonville, NC 28546-6006
Mailing Address1703 Country Club Rd, Suite 204Jacksonville, NC 28546-6006 · (910) 347-3010 · Fax (910) 347-3201
Fax(910) 347-3201
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateDecember 16, 2005
Last NPPES UpdateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
NPI 1932185477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 1140
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.
1703 COUNTRY CLUB RD, Jacksonville, NC 28546

Other Identifiers 2

Medicaid6000579NC
Other04581NC · Bc/bs

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 and accepts Medicare assignment

Dr. Gerolf Engelstatter Phd 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 ID9032019815
PECOS Enrollment IDI20100902000953
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
683 services50 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
51 services22 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
16 services16 patients

Other Providers at the Same Location NPPES 16

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

Psychologist
1703 COUNTRY CLUB RD, SUITE 204
JACKSONVILLE, NC 28546
Psychologist
1703 COUNTRY CLUB RD, SUITE 204
JACKSONVILLE, NC 28546
Speech-Language Pathologist
1703 COUNTRY CLUB RD, SUITE #305
JACKSONVILLE, NC 28546
Psychologist
1703 COUNTRY CLUB RD, SUITE 204
JACKSONVILLE, NC 28546
Social Worker
1703 COUNTRY CLUB RD, STE 204
JACKSONVILLE, NC 28546
Speech-Language Pathologist
1703 COUNTRY CLUB RD, UNIT #305
JACKSONVILLE, NC 28546
Marriage & Family Therapist
1703 COUNTRY CLUB RD, SUITE 204
JACKSONVILLE, NC 28546
Psychologist
1703 COUNTRY CLUB RD
JACKSONVILLE, NC 28546

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 Gerolf Engelstatter's NPI number?

The NPI number for Gerolf Engelstatter is 1932185477. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Gerolf Engelstatter located?

Gerolf Engelstatter practices at 1703 Country Club Rd Suite 204, Jacksonville, NC 28546. The listed phone number is (910) 347-3010.

What is Gerolf Engelstatter's specialty?

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

Is Gerolf Engelstatter enrolled in Medicare?

Yes. Gerolf Engelstatter 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.

What insurance does Gerolf Engelstatter accept?

Health plans from Blue Cross and Blue Shield of NC list Gerolf Engelstatter 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 Gerolf Engelstatter was last updated on March 28, 2023. 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.