Individual provider Active NPI

William Chapman Holliday, M.D.

  • Psychiatry Physician
  • Bellevue, WA
National Provider Identifier
1174635445
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00014845 Issued in WA
Practice address
2300 130TH Ave NE
Suite a-211
Bellevue, WA 98005-1755
Phone
(425) 869-1110
Fax
(425) 869-9578
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00014845 WA Primary

Addresses

Primary practice location

2300 130TH Ave NE
Suite a-211
Bellevue, WA 98005-1755

Mailing address

2300 130TH Ave NE
Suite a-211
Bellevue, WA 98005-1755
Phone (425) 869-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William C Holliday, MD, PS CurrentSince Aug 1, 1982 Accepting new patients

Locations

2200 112th Ave NE
Ste 140
Bellevue, WA 98004
Phone (425) 454-1189

2300 130th Ave NE
Ste A
Bellevue, WA 98005
Phone (425) 869-1110

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174635445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 130TH AVE NE",
            "address_2": "SUITE A-211",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051755",
            "telephone_number": "425-869-1110",
            "fax_number": "425-869-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 130TH AVE NE",
            "address_2": "SUITE A-211",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051755",
            "telephone_number": "425-869-1110",
            "fax_number": "425-869-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "WILLIAM",
        "middle_name": "CHAPMAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00014845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.