Individual provider Active NPI

William H Vasilakis, PSY.D.

  • Clinical Psychologist
  • Lancaster, OH
National Provider Identifier
1063424497
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5481 Issued in OH
Practice address
204 S Broad St
2210
Lancaster, OH 43130-7501
Phone
(740) 689-8910
NPI assigned
Aug 13, 2006
Last updated
Feb 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5481 OH Primary

Addresses

Primary practice location

204 S Broad St
2210
Lancaster, OH 43130-7501

Mailing address

4985 Searls Dr NW
North Canton, OH 44720-7464
Phone (330) 418-0042

Other identifiers 1

IdentifierTypeStateIssuer
2283738MedicaidOH

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
5481OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C CurrentSince Jun 10, 2020 Accepting new patients
Preslar Psychological Services, LLC Past Accepting new patients
Integrity Psychological Counseling LLC Clinical Past Accepting new patients
Apexmeds Past Accepting new patients
Fairfield Healthcare Professionals Inc Past Accepting new patients
Faith Based Counseling Past Accepting new patients
Fairfield Healthcare Professionals, Inc. Past Accepting new patients
Charis Counseling and Psychological Services LLC Clinical Past Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

50 W Broad St
Ste 1330
Columbus, OH 43215
Phone (630) 320-6871

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1063424497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4985 SEARLS DR NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207464",
            "telephone_number": "330-418-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S BROAD ST",
            "address_2": "2210",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431307501",
            "telephone_number": "740-689-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASILAKIS",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2283738",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.