Individual provider Active NPI

William Charles Horton, PSY.D.

  • Psychoanalysis Psychologist
  • Birmingham, MI
National Provider Identifier
1205965993
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
License
6301006621 Issued in MI
Practice address
380 N Old Woodward Ave
Ste. 156
Birmingham, MI 48009-5347
Phone
(248) 377-9428
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalysis Psychologist 103TP0814X 6301006621 MI Primary

Addresses

Primary practice location

380 N Old Woodward Ave
Ste. 156
Birmingham, MI 48009-5347

Mailing address

380 N Old Woodward Ave
Ste. 156
Birmingham, MI 48009-5347
Phone (248) 377-9428

Other identifiers 1

IdentifierTypeStateIssuer
71020000F32353OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040203000076 MI Practitioner - Clinical Psychologist 6800789165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

372 Hilton Rd
Ferndale, MI 48220-2548
Phone (248) 377-9428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
William C. Horton, Psy.D., PC CurrentSince Oct 17, 2001 Accepting new patients

Locations

380 N Old Woodward Ave
Ste 156
Birmingham, MI 48009
Phone (248) 594-7690

999 Haynes St
Ste 235
Birmingham, MI 48009
Phone (248) 613-0091

372 Hilton Rd
Ferndale, MI 48220
Phone (248) 377-9428

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1205965993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 N OLD WOODWARD AVE",
            "address_2": "STE. 156",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480095347",
            "telephone_number": "248-377-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N OLD WOODWARD AVE",
            "address_2": "STE. 156",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480095347",
            "telephone_number": "248-377-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "MI",
            "license": "6301006621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "71020000F32353",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.