Individual provider Active NPI

William Henry Connor, PH.D.

  • Psychologist
  • Vestal, NY
National Provider Identifier
1225129042
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4654 Issued in NY
Practice address
200 Plaza Dr
Vestal, NY 13850-3680
Phone
(607) 797-7766
Fax
(607) 797-7787
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4654 NY Primary

Addresses

Primary practice location

200 Plaza Dr
Vestal, NY 13850-3680

Mailing address

5 Riverside Dr Apt 702
Binghamton, NY 13905-4619
Phone (607) 797-7766

Other practice location 1

29 Riverside Dr
Binghamton, NY 13905-4562
Phone (607) 797-7766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100301000568 NY Practitioner - Clinical Psychologist 9537204656 Practice locations: Binghamton, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Wisconsin School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

29 Riverside Dr
Binghamton, NY 13905-4562
Phone (607) 760-6673

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4654NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1225129042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RIVERSIDE DR APT 702",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054619",
            "telephone_number": "607-797-7766",
            "fax_number": "888-783-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PLAZA DR",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503680",
            "telephone_number": "607-797-7766",
            "fax_number": "607-797-7787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Binghamton",
            "state": "NY",
            "postal_code": "139054562",
            "country_code": "US",
            "telephone_number": "607-797-7766",
            "fax_number": "888-783-3165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "4654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.