Active NPI
William Louis Fink, M.D.
- Psychiatry Physician
- Longmont, CO
National Provider Identifier
1093840902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 28434
- Practice address
- 1707 Main St
Suite 404
Longmont, CO 80501-7407 - Phone
- (303) 776-9797
- Fax
- (303) 776-7693
- NPI assigned
- Feb 22, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 28434 | CO | Primary |
Addresses
Primary practice location
1707 Main St
Suite 404
Longmont, CO 80501-7407
Mailing address
1707 Main St
Suite 404
Longmont, CO 80501-7407
Phone (303) 776-9797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050916000192 | CO | Practitioner - Psychiatry | 1355374612 | Practice locations: Boulder, CO; Longmont, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Nebraska College of Medicine, 1974
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1707 Main St
Suite 404
Longmont, CO 80501-7404
Phone (303) 776-9797
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28434 | CO | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093840902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 MAIN ST",
"address_2": "SUITE 404",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805017407",
"telephone_number": "303-776-9797",
"fax_number": "303-776-7693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 MAIN ST",
"address_2": "SUITE 404",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805017407",
"telephone_number": "303-776-9797",
"fax_number": "303-776-7693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINK",
"first_name": "WILLIAM",
"middle_name": "LOUIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "28434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.