William Max Hurley-Welljams-Dorof, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY200001501 Issued in DC

Practice address

1330 U St NW
Washington, DC 20009-7991

Phone

(202) 888-5595

NPI assigned

Aug 20, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1104592989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 U ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200097991",
            "telephone_number": "202-888-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 U ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200097991",
            "telephone_number": "202-888-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY-WELLJAMS-DOROF",
        "first_name": "WILLIAM",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-20",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY200001501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry John Huot, ED.S., LPC, NCC
• Ashley Inciardi Huppe, MD
• Shameem Ara Huq, MD
• Hurdle Clinical Group PC
• Hurdle Health Inc.
• John K Hurley, MD
• Kevin B Hurley Sr.
• Shakia Jeanette Hurlock
• Jack Hurrell, RN, PMHNP-BC
• Susan B Hurson, MD

• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.