NPIMap

Organization Active NPI

William J Stockton, M.D.

  • Adult Mental Health Clinic/Center
  • Port Republic, MD
National Provider Identifier
1063734085
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
D0012330 Issued in MD
Legal business name
WILLIAM J STOCKTON, M.D.
Practice address
3405 Howard Dr
Port Republic, MD 20676-2190
Phone
(443) 295-7198
Fax
(443) 295-7199
NPI assigned
Feb 17, 2010
Last updated
Feb 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Authorized official

Name
Dr. William James Stockton, M.D.
Title
Owner
Phone
(443) 295-7198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X D0012330 MD Primary

Addresses

Primary practice location

3405 Howard Dr
Port Republic, MD 20676-2190

Mailing address

3405 Howard Dr
Port Republic, MD 20676-2190
Phone (443) 295-7198

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1063734085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 HOWARD DR",
            "city": "PORT REPUBLIC",
            "state": "MD",
            "postal_code": "206762190",
            "telephone_number": "443-295-7198",
            "fax_number": "443-295-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 HOWARD DR",
            "city": "PORT REPUBLIC",
            "state": "MD",
            "postal_code": "206762190",
            "telephone_number": "443-295-7198",
            "fax_number": "443-295-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J STOCKTON, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "STOCKTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-295-7198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "D0012330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Republic, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.