Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720167026 Individual Practitioner Male Practitioner

Dr. William Edward Moredock , PhD

Psychologist - Clinical • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Moredock, PhD is a certified Psychologist - Clinical practicing in Springfield, IL. With approximately 44 years of clinical experience since completing medical education in 1982, Dr. Moredock delivers high-quality medical care to the local community at 1200 W. WASHINGTON STREET.

Dr. Moredock accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1200 W. Washington Street

Springfield, IL 627024794

Telephone 2177871595

Medicare Profile & Education

Medical School

Other

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Springfield, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
44 Yrs +17.0 yrs vs City Avg
City Avg: 27.0 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
47 Specialists

Practicing in Springfield, IL (4140 Statewide)

Telehealth Adoption Rate
12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moredock (44 Years) 44 Yrs
Springfield Specialty Average (27.0 Years) 27.0 Yrs

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License IL 071.003906

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbsil
08406629 (IL)
Commercial Insurance / Payer ID Magellan
174554000 (IL)
Commercial Insurance / Payer ID Caqh
11443979 (IL)
Commercial Insurance / Payer ID Healthlink
255240 (IL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 01, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2013

Registered at 1200 W. WASHINGTON STREET, SPRINGFIELD, IL 627024794 (Tel: 2177871595)

📍
Updated Business Mailing Address July 01, 2013

Registered at 4100 CHANDLERWOOD, SPRINGFIELD, IL 627116081 (Tel: 2177933612)

👤
Provider Name / Credentials Updated July 01, 2013

Recorded as WILLIAM MOREDOCK, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2013

Psychologist (License #071.003906 in IL)

🟢
Initial NPI Registration & Enumeration November 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720167026
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2006
Last Update: July 01, 2013
Sole Proprietor: Yes

Mailing Address

4100 Chandlerwood

Springfield, IL 627116081

Phone: 2177933612

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.