Active NPI
William Lenard Schwimmer, PHD
- Clinical Psychologist
- Sebastopol, CA
National Provider Identifier
1053681361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY7300
- Practice address
- 11250 Barnett Valley Rd
Sebastopol, CA 95472-9555 - Phone
- (707) 829-8566
- NPI assigned
- Jan 3, 2012
- Last updated
- Jan 3, 2012
- 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 | PSY7300 | CA | Primary |
Addresses
Primary practice location
11250 Barnett Valley Rd
Sebastopol, CA 95472-9555
Mailing address
11250 Barnett Valley Rd
Sebastopol, CA 95472-9555
Phone (707) 829-8566
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY7300 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1053681361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11250 BARNETT VALLEY RD",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954729555",
"telephone_number": "707-829-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11250 BARNETT VALLEY RD",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954729555",
"telephone_number": "707-829-8566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWIMMER",
"first_name": "WILLIAM",
"middle_name": "LENARD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-03",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY7300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.