Individual provider Active NPI

Phebee William, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Bernardino, CA
National Provider Identifier
1093276149
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402619 Issued in NY
Practice address
473 East Carnegie Drive
Suite 200
San Bernardino, CA 92408-4201
Phone
(888) 516-0397
Fax
(949) 288-0280
NPI assigned
Mar 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 711796 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402619 NY Primary

Addresses

Primary practice location

473 East Carnegie Drive
Suite 200
San Bernardino, CA 92408-4201

Mailing address

1853 Pearland Prwy
Suite 123 PMB 1040
Pearland, TX 77581
Phone (888) 516-0397

Other practice location 1

1455 NW Leary Way
Seattle, WA 98107-5124
Phone (888) 516-0397

Other practice location 2

10260 SW Greenburg Rd Ste 400
Portland, OR 97223-5514
Phone (888) 516-0397

Other practice location 3

1 Blue Hill Plz Lbby Level
Pearl River, NY 10965-3111
Phone (888) 516-0397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190828001803 NY Practitioner - Nurse Practitioner 2668700675 Reassigns benefits to 2 organizations
I20211108001454 CA Practitioner - Nurse Practitioner 2668700675 Reassigns benefits to 2 organizations
I20250708000249 OR Practitioner - Nurse Practitioner 2668700675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Portland, OR 97223
Phone (888) 516-0397

122 Main St
New Paltz, NY 12561-1525
Phone (888) 516-0397

38345 30TH St E
Suite E4
Palmdale, CA 93550-4984
Phone (888) 516-0397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
711796CAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Mental Health, Inc. Psychiatric/Mental Health CurrentSince Jul 15, 2019 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health CurrentSince Aug 1, 2020 Accepting new patients
Family Services, Inc. CurrentSince Jul 15, 2019 Accepting new patients
P William Psychiatric Nurse Practitioner Services PLLC Psychiatric/Mental Health CurrentSince Jul 23, 2021 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health CurrentSince Aug 1, 2020 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health Current Accepting new patients

Locations

16279 Walnut St
Hesperia, CA 92345
Phone (760) 243-7700

24432 Muirlands Blvd
Ste 131
Lake Forest, CA 92630
Phone (714) 520-3000

23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455

38345 30th St E
Ste E4
Palmdale, CA 93550
Phone (888) 516-0397

8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

1 Blue Hill Plz
Lbby
Pearl River, NY 10965
Phone (347) 420-8459

29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110

239 Golden Hill Ln
Saint Remy, NY 12401
Phone 84534040004189

10260 SW Greenburg Rd
Ste 400
Tigard, OR 97223
Phone (208) 996-3519

1853 Pearland Pkwy
Ste 123
Pearland, TX 77581
Phone (281) 916-8171

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1093276149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 PEARLAND PRWY",
            "address_2": "SUITE 123 PMB 1040",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77581",
            "telephone_number": "888-516-0397",
            "fax_number": "949-288-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 EAST CARNEGIE DRIVE",
            "address_2": "SUITE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084201",
            "telephone_number": "888-516-0397",
            "fax_number": "949-288-0280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 NW Leary Way",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981075124",
            "country_code": "US",
            "telephone_number": "888-516-0397",
            "fax_number": "949-288-0280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10260 SW Greenburg Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972235514",
            "country_code": "US",
            "telephone_number": "888-516-0397",
            "fax_number": "949-288-0280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Blue Hill Plz Lbby Level",
            "address_purpose": "LOCATION",
            "city": "Pearl River",
            "state": "NY",
            "postal_code": "109653111",
            "country_code": "US",
            "telephone_number": "888-516-0397",
            "fax_number": "949-288-0280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAM",
        "first_name": "PHEBEE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "711796",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.