Individual provider Active NPI

William Edward Hopkins, PHD

  • Psychologist
  • Eldersburg, MD
National Provider Identifier
1093721904
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
02523 Issued in MD
Practice address
1380 Progress Way
#101
Eldersburg, MD 21784
Phone
(410) 549-5181
Fax
(410) 549-5182
NPI assigned
Jul 31, 2006
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 02523 MD Primary

Addresses

Primary practice location

1380 Progress Way
#101
Eldersburg, MD 21784

Mailing address

1380 Progress Way
#101
Eldersburg, MD 21784
Phone (410) 549-5181

Other practice location 1

9199 Reisterstown Rd Ste 216C
Owings Mills, MD 21117-4577
Phone (410) 363-4428

Other identifiers 1

IdentifierTypeStateIssuer
272600900MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111230000566 MD Practitioner - Clinical Psychologist 6204002942 Reassigns benefits to 1 organization
Practice locations: Linthicum Heights, MD; Owings Mills, MD; Randallstown, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
02523MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Skies Therapy Services LLC Psychologist CurrentSince Apr 1, 2026 Accepting new patients

Organizations & group practices 1

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1093721904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 PROGRESS WAY",
            "address_2": "#101",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "21784",
            "telephone_number": "410-549-5181",
            "fax_number": "410-549-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 PROGRESS WAY",
            "address_2": "#101",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "21784",
            "telephone_number": "410-549-5181",
            "fax_number": "410-549-5182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9199 Reisterstown Rd Ste 216C",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211174577",
            "country_code": "US",
            "telephone_number": "410-363-4428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "02523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272600900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

Verify at the official NPI Registry.