Active NPI
William Hwang
- Psychologist
- Portland, OR
National Provider Identifier
1225470156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3076
- Practice address
- 4224 NE Halsey St Ste 335
Portland, OR 97213-1568 - Phone
- (503) 922-6616
- NPI assigned
- Jul 19, 2013
- Last updated
- Nov 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Psychologist | 103T00000X | 3076 | OR | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
4224 NE Halsey St Ste 335
Portland, OR 97213-1568
Mailing address
2016 NE Highland St
Portland, OR 97211-5323
Phone (540) 641-3178
Other practice location 1
11059 E Bethany Dr Ste 200
Aurora, CO 80014-2637
Phone (303) 617-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190515002276 | OR | Practitioner - Clinical Psychologist | 7618210667 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3076 | OR | MD | Physical Therapist |
Interoperability endpoints
- lifestancehealth.williamhwang@148835.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1225470156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2016 NE HIGHLAND ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972115323",
"telephone_number": "540-641-3178",
"fax_number": "303-617-2397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4224 NE HALSEY ST STE 335",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131568",
"telephone_number": "503-922-6616"
}
],
"practiceLocations": [
{
"address_1": "11059 E Bethany Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800142637",
"country_code": "US",
"telephone_number": "303-617-2300",
"fax_number": "303-617-2397",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HWANG",
"first_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-19",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "3076",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.