BRIAN W ABLITZ, Psy.D., ABPP — NPI 1659506269 (Licensed & Credentialed Clinical Neuropsychologist in CHARLOTTE, NC)

CMS-1500 Box 24J / 33a • NPI

1659506269

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103G00000X

Licensed & Credentialed Clinical Neuropsychologist

Box 32 Service Location & ZIP+4

1100 BLYTHE BLVD, CHARLOTTE, NC, 28203-5814

✓ 9-Digit EDI 837 ZIP+4 (28203-5814)

Practice Phone & Referral Fax

(704) 355-7328

Fax: (704) 355-7327

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1659506269 (BRIAN W ABLITZ, Psy.D., ABPP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1659506269` (NPI-1 Individual Practitioner)
Provider / Legal Name	BRIAN W ABLITZ, Psy.D., ABPP
Plain-English Specialty	Licensed & Credentialed Clinical Neuropsychologist NUCC Code: `103G00000X` (Clinical Neuropsychologist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1100 BLYTHE BLVD, CHARLOTTE, NC, 28203-5814
Practice Telephone / Fax	Tel: (704) 355-7328 \| Fax: (704) 355-7327
Administrative Mailing Address	487 LAKE CONCORD RD NE, CONCORD, NC, 28025-2934
Enumeration & Last Sync	Enumerated: 2009-05-27 \| CMS Record Updated: 2024-07-24

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1100 BLYTHE BLVD, CHARLOTTE, NC, 28203-5814

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Plain-English Taxonomy & CMS Crosswalk (103G00000X)

What Does Taxonomy Code 103G00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103G00000X translates to:
"Licensed & Credentialed Clinical Neuropsychologist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Clinical Neuropsychologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BRIAN W ABLITZ, Psy.D., ABPP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103G00000X` — Clinical Neuropsychologist Plain English: Licensed & Credentialed Clinical Neuropsychologist	State: ME \| License: `PS1323` \| Primary: Secondary
`103G00000X` — Clinical Neuropsychologist Plain English: Licensed & Credentialed Clinical Neuropsychologist	State: NC \| License: `5041` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BRIAN W ABLITZ, Psy.D., ABPP (NPI #1659506269)