Individual provider Active NPI

William Steven Saunders, PSY. D.

  • Clinical Psychologist
  • Leesburg, FL
National Provider Identifier
1194705798
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6174 Issued in FL
Practice address
1114 W Dixie Ave
Leesburg, FL 34748-6312
Phone
(352) 406-0506
Fax
(352) 629-2122
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

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
Clinical Psychologist 103TC0700X PY6174 FL Primary

Addresses

Primary practice location

1114 W Dixie Ave
Leesburg, FL 34748-6312

Mailing address

PO Box 490134
Leesburg, FL 34749-0134
Phone (352) 406-0506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050728000070 FL Practitioner - Clinical Psychologist 9931137395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Psychological Consultants IncGroup PAC ID 2668470543, 4 clinicians

Practice addresses (Care Compare)

605 W Montrose St
Clermont, FL 34711-2119
Phone (352) 365-2243

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY6174FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Psychological Consultants Inc Clinical CurrentSince Mar 1, 2006 Accepting new patients
Serenity of Central Florida P.a. Past Accepting new patients

Locations

605 W Montrose St
Clermont, FL 34711
Phone (352) 365-2243

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194705798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490134",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347490134",
            "telephone_number": "352-406-0506",
            "fax_number": "352-365-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 W DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486312",
            "telephone_number": "352-406-0506",
            "fax_number": "352-629-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "WILLIAM",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.