Individual provider Active NPI

William McEnroe, M.S.ED.

  • School Psychologist
  • Newport News, VA
National Provider Identifier
1033611363
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
0813000886 Issued in VA
Practice address
51 Copeland LN
Newport News, VA 23601-2309
Phone
(757) 591-4700
NPI assigned
Mar 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 0813000886 VA Primary

Addresses

Primary practice location

51 Copeland LN
Newport News, VA 23601-2309

Mailing address

51 Copeland LN
Newport News, VA 23601-2309
Phone (757) 591-4700

Other identifiers 1

IdentifierTypeStateIssuer
0813000886MedicaidVA

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

LicenseStateTypeSpecialty
0813000886VAMDSchool Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1033611363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 COPELAND LN",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236012309",
            "telephone_number": "757-591-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 COPELAND LN",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236012309",
            "telephone_number": "757-591-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCENROE",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "M.S.ED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "0813000886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0813000886",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.