Active NPI
William R Halloran, M.D.
- Child & Adolescent Psychiatry Physician
- Chico, CA
National Provider Identifier
1023149739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- G86643
- Practice address
- 130 Amber Grove Dr
Suite 130
Chico, CA 95973-5875 - Phone
- (530) 895-7634
- Fax
- (530) 342-2440
- NPI assigned
- Mar 7, 2007
- Last updated
- Jul 31, 2008
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | G86643 | CA | Primary |
Addresses
Primary practice location
130 Amber Grove Dr
Suite 130
Chico, CA 95973-5875
Mailing address
130 Amber Grove Dr
Suite 130
Chico, CA 95973-5875
Phone (530) 895-7634
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G86643 | CA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Guidance Center, Inc | Past | Accepting new patients | |
| County of Amador | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Amador County Behavioral Health SUD
- Substance Use Disorder Rehabilitation Clinic/Center
- Sutter Creek, CA
- NPI 1699321752
-
- Family Medicine Physician
- Springdale, AR
- NPI 1659945194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217462400000",
"number": "1023149739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 AMBER GROVE DR",
"address_2": "SUITE 130",
"city": "CHICO",
"state": "CA",
"postal_code": "959735875",
"telephone_number": "530-895-7634",
"fax_number": "530-342-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 AMBER GROVE DR",
"address_2": "SUITE 130",
"city": "CHICO",
"state": "CA",
"postal_code": "959735875",
"telephone_number": "530-895-7634",
"fax_number": "530-342-2440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLORAN",
"first_name": "WILLIAM",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2008-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "G86643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
- Jamie Alison Hall, LMFT, APCC
- Linda Lee Hall, MA
- Peter Thomas Hall, PHARM D.
- Cassandra Halley
- Michele Ann Halligan, ASW
- Halo Breast Care Center Professional Corporation (HALO Medical Group)
- Halo Medical Group (Chico Breast Care Center II, INC.)
- Jamie Keiko Hamakawa, BS
- Grace Hamel
- Eden L Hamilton-Flores
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.