William Richard Slagle, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0456 Issued in NV

Practice address

1070 Wigwam Pkwy Ste 100
Henderson, NV 89074-8178

Phone

(702) 454-0201

Fax

(702) 454-1245

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Dodge a Slagle DO LTD

  • Psychiatry Physician
  • Henderson, NV
  • NPI 1568669547
  NPD
• William Slagle,PH.D LTD

  • Clinical Psychologist
  • Henderson, NV
  • NPI 1275730269
  NPD

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1114943016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 WIGWAM PKWY STE 10",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748177",
            "telephone_number": "702-454-0201",
            "fax_number": "702-454-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 WIGWAM PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748178",
            "telephone_number": "702-454-0201",
            "fax_number": "702-454-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAGLE",
        "first_name": "WILLIAM",
        "middle_name": "RICHARD",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002602052",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Lyn Skillman
• Skills Builders
• Radena Skoglund
• Erin Diane Slack
• Dodge Alan Slagle, DO
• Shawn M Slaughter
• Anastasia Slavina
• Deborah Jean Sledge
• Sleep Apnea Gurus PLLC
• Sleep Logistics International, Inc.

• Clinical Psychologist in Henderson, NV
• Providers in Henderson, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.