Active NPI
William Elder, PH.D.
- Counseling Psychologist
- San Antonio, TX
National Provider Identifier
1013308055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 57843642501
- Practice address
- 5788 Eckhert Rd
San Antonio, TX 78240-3900 - Phone
- (210) 699-2139
- NPI assigned
- Feb 12, 2015
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 57843642501 | UT | Primary |
Addresses
Primary practice location
5788 Eckhert Rd
San Antonio, TX 78240-3900
Mailing address
11020 Huebner Oaks Apt 1131
San Antonio, TX 78230-1140
Phone (801) 400-2556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57843642501 | UT | MD | Counseling Psychologist |
| 37880 | TX | MD | Clinical Social Worker |
Interoperability endpoints
- william.elder.1@30520.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423699200000",
"number": "1013308055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11020 HUEBNER OAKS APT 1131",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782301140",
"telephone_number": "801-400-2556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5788 ECKHERT RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782403900",
"telephone_number": "210-699-2139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-12",
"last_updated": "2015-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "UT",
"license": "57843642501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.