Active NPI
William Pfohl, PSYD
- Clinical Child & Adolescent Psychologist
- Bowling Green, KY
National Provider Identifier
1275522146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 393
- Practice address
- 1011 Lehman Ave
Suite 106 Box 6
Bowling Green, KY 42103-6502 - Phone
- (270) 782-9996
- Fax
- (270) 796-8973
- NPI assigned
- Oct 13, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 393 | KY | Primary |
Addresses
Primary practice location
1011 Lehman Ave
Suite 106 Box 6
Bowling Green, KY 42103-6502
Mailing address
1011 Lehman Ave
Suite 106 Box 6
Bowling Green, KY 42103-6502
Phone (270) 782-9996
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 393 | KY | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275522146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 LEHMAN AVE",
"address_2": "SUITE 106 BOX 6",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421036502",
"telephone_number": "270-782-9996",
"fax_number": "270-796-8973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 LEHMAN AVE",
"address_2": "SUITE 106 BOX 6",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421036502",
"telephone_number": "270-782-9996",
"fax_number": "270-796-8973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFOHL",
"first_name": "WILLIAM",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "KY",
"license": "393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.