Individual provider Active NPI

William Lester Seymour, PHD

  • Psychologist
  • Milwaukee, WI
National Provider Identifier
1184717555
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2418 Issued in WI
Practice address
9000 W Wisconsin Ave
Dept of Psychiatry
Milwaukee, WI 53226-3518
Phone
(414) 266-2932
Fax
(414) 266-3735
NPI assigned
Sep 30, 2006
Last updated
Apr 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2418 WI Primary
Psychologist 103T00000X 3407 AZ

Addresses

Primary practice location

9000 W Wisconsin Ave
Dept of Psychiatry
Milwaukee, WI 53226-3518

Mailing address

217 W Dunwood Rd
Fox Point, WI 53217-3176
Phone (414) 988-5354

Other identifiers 2

IdentifierTypeStateIssuer
39139300MedicaidWI
391369300MedicaidWI

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20170320000622 WI Practitioner - Clinical Psychologist 5799751632 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2418WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Waukesha County CurrentSince Mar 6, 2017 Accepting new patients
Waukesha County CurrentSince Mar 6, 2017 Accepting new patients
Waukesha County Current Accepting new patients

Locations

1501 Airport Rd
Waukesha, WI 53188
Phone (262) 548-7950

514 Riverview Ave
Waukesha, WI 53188
Phone (262) 548-7212

Organizations & group practices 3

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1184717555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W DUNWOOD RD",
            "city": "FOX POINT",
            "state": "WI",
            "postal_code": "532173176",
            "telephone_number": "414-988-5354",
            "fax_number": "608-833-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE",
            "address_2": "DEPT OF PSYCHIATRY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263518",
            "telephone_number": "414-266-2932",
            "fax_number": "414-266-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "WILLIAM",
        "middle_name": "LESTER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2418",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3407",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39139300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391369300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.