Individual provider Active NPI

William B Meneese, PHD

  • Psychologist
  • Birmingham, AL
National Provider Identifier
1104939610
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
647 Issued in AL
Practice address
1 W Lakeshore Dr
Suite 201
Birmingham, AL 35209-0500
Phone
(205) 602-9980
Fax
(205) 592-8835
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 647 AL Primary

Addresses

Primary practice location

1 W Lakeshore Dr
Suite 201
Birmingham, AL 35209-0500

Mailing address

PO Box 660685
Birmingham, AL 35266-0685
Phone (205) 979-5882

Other identifiers 2

IdentifierTypeStateIssuer
000090974MedicaidAL
51090974OtherALBCBS #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110809000576 AL Practitioner - Psychologist Billing Independently 1153590161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Sanford School of Medicine of University of South Dakota, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

85 Bagby Dr
Birmingham, AL 35209-3735
Phone (205) 602-9980

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychological Services, LLC Psychologist CurrentSince Jun 1, 2011 Accepting new patients
Hammer Center for Pain Management Past Accepting new patients

Locations

1 W Lakeshore Dr
Ste 201
Birmingham, AL 35209
Phone (205) 602-9980

85 Bagby Dr
#302
Birmingham, AL 35209
Phone (205) 602-9980

Organizations & group practices 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1104939610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660685",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352660685",
            "telephone_number": "205-979-5882",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W LAKESHORE DR",
            "address_2": "SUITE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352090500",
            "telephone_number": "205-602-9980",
            "fax_number": "205-592-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENEESE",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000090974",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "51090974",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.