Individual provider Active NPI

William D Horton, PSY D

  • Psychologist
  • San Francisco, CA
National Provider Identifier
1215205547
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY16088 Issued in CA
Practice address
580 California St FL 12
San Francisco, CA 94104-1033
Phone
(941) 408-8551
Fax
(941) 408-8552
NPI assigned
Dec 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LPY11 FL
Psychologist 103T00000X PSY16088 CA Primary

Addresses

Primary practice location

580 California St FL 12
San Francisco, CA 94104-1033

Mailing address

1532 US Highway 41 Byp S
Ste 287
Venice, FL 34293-1032
Phone (941) 408-8551

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

State licenses

LicenseStateTypeSpecialty
PSY16088CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1215205547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 US HIGHWAY 41 BYP S",
            "address_2": "STE 287",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931032",
            "telephone_number": "941-408-8551",
            "fax_number": "941-408-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 CALIFORNIA ST FL 12",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941041033",
            "telephone_number": "941-408-8551",
            "fax_number": "941-408-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-01",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "LPY11",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY16088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.