William Berchman Flynn Jr., PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

474 Issued in NH

Practice address

39 Simon St Ste 2a
Nashua, NH 03060-3046

Phone

(603) 888-4347

Fax

(603) 577-9157

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

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

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.

• Merrimack Valley Counseling Association

  • Psychologist
  • Nashua, NH
  • NPI 1508905472
  Medicare reassignment NPD Authorized official
• Eren Kurtay-Sozmen, MD

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nashua, NH
  • NPI 1306005848
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154497576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SIMON ST STE 2A",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603046",
            "telephone_number": "603-888-4347",
            "fax_number": "603-577-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SIMON ST STE 2A",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603046",
            "telephone_number": "603-888-4347",
            "fax_number": "603-577-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "WILLIAM",
        "middle_name": "BERCHMAN",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "474",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4451",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007758",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bjorn K Flora, MD
• Kian Floyd, BA
• Margaret Flynn, MD
• Sumner Flynn, BCBA
• Susan Flynn
• FMP-DHC-LLP
• Focus on Fitness, Inc.
• Bethany Fogel
• Veronica Donoghue Foley, M.S., CCC-A
• Raymond Folven, PH.D.

• Psychologist in Nashua, NH
• Providers in Nashua, NH by specialty
• Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.