Active NPI
William H Vasilakis, PSY.D.
- Clinical Psychologist
- Lancaster, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5481
- Practice address
- 204 S Broad St
2210
Lancaster, OH 43130-7501 - Phone
- (740) 689-8910
- NPI assigned
- Aug 13, 2006
- Last updated
- Feb 23, 2015
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2283738 | Medicaid | OH |
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
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5481 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals P C | Current | 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.
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- NPI 1164664496
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- Family Medicine Physician
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- NPI 1174931448
-
- Registered Nurse
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- NPI 1184095044
-
- Clinical Psychologist
- Lancaster, OH
- NPI 1730168097
-
dba Fairfield Psychiatric Services
- Psychiatry Physician
- Lancaster, OH
- NPI 1255372215
-
dba Fairfield Medical Urgent Care
- Urgent Care Clinic/Center
- Lancaster, OH
- NPI 1700334182
-
- Mental Health Counselor
- Lancaster, OH
- NPI 1306907092
-
- Psychologist
- Opelika, AL
- NPI 1043388028
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.