Active NPI
William Arthur Winn III, ED.D
- Psychologist
- Boston, MA
National Provider Identifier
1003053810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2958
- Practice address
- 66 Long Wharf
Boston, MA 02110-3605 - Phone
- (617) 624-3340
- Fax
- (617) 523-8197
- NPI assigned
- Jan 15, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2958 | MA | Primary |
Addresses
Primary practice location
66 Long Wharf
Boston, MA 02110-3605
Mailing address
66 Long Wharf
Boston, MA 02110-3605
Phone (617) 624-3340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2958 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231977600000",
"number": "1003053810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 LONG WHARF",
"city": "BOSTON",
"state": "MA",
"postal_code": "021103605",
"telephone_number": "617-624-3340",
"fax_number": "617-523-8197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 LONG WHARF",
"city": "BOSTON",
"state": "MA",
"postal_code": "021103605",
"telephone_number": "617-624-3340",
"fax_number": "617-523-8197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINN",
"first_name": "WILLIAM",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "ED.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-15",
"last_updated": "2009-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "2958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.