William G. Himadi, PH.D.
Individual provider Active NPI Clinical Psychologist · Chattahoochee, FL
NPI 1215212253 · NPPES record last updated Oct 20, 2011
Key facts
- NPI
- 1215212253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY3689 (FL)
- Practice address
- 100 N Main St
Chattahoochee, FL 32324-1107 - Phone
- (850) 663-7807
- NPI assigned
- Oct 20, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY3689 | FL | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY3689 | FL | Yes |
Addresses
Primary practice location
100 N Main St
Chattahoochee, FL 32324-1107
Mailing address
PO Box 1000
Chattahoochee, FL 32324-1000
Phone (850) 663-7807
Other providers in Chattahoochee, FL
- Tashedra Hadley
- Chelsea Hagen
- Brian C Ham
- James Michael Healy
- Frances L Henry-Bush
- Holiday CVS LLC
- Kelissa Huggins
- Aileen K. Humphrey
- Charles Anthony Hurst
- Tillina Ann Jackson
All providers in Chattahoochee, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.