Active NPI
William Irving Dorfman, PH.D.
- Clinical Psychologist
- Lauderdale by the Sea, FL
National Provider Identifier
1043323751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY3343
- Practice address
- 224 Commercial Blvd
#303
Lauderdale by the Sea, FL 33308-4443 - Phone
- (954) 817-4864
- Fax
- (954) 204-3725
- NPI assigned
- Aug 16, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY3343 | FL | Primary |
Addresses
Primary practice location
224 Commercial Blvd
#303
Lauderdale by the Sea, FL 33308-4443
Mailing address
224 Commercial Blvd
#303
Lauderdale by the Sea, FL 33308-4443
Phone (954) 817-4864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365724800000",
"number": "1043323751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 COMMERCIAL BLVD",
"address_2": "#303",
"city": "LAUDERDALE BY THE SEA",
"state": "FL",
"postal_code": "333084443",
"telephone_number": "954-817-4864",
"fax_number": "954-204-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 COMMERCIAL BLVD",
"address_2": "#303",
"city": "LAUDERDALE BY THE SEA",
"state": "FL",
"postal_code": "333084443",
"telephone_number": "954-817-4864",
"fax_number": "954-204-3725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORFMAN",
"first_name": "WILLIAM",
"middle_name": "IRVING",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2013-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY3343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lauderdale by the Sea, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.