Organization Active NPI

William Shryer

  • Psychiatry Physician
  • Danville, CA
National Provider Identifier
1285000174
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WILLIAM SHRYER
Practice address
4185 Blackhawk Plaza Cir
Suite 250
Danville, CA 94506
Phone
(925) 648-2650
Fax
(925) 648-2530
NPI assigned
Aug 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Authorized official

Name
William Shryer, LCSW, DCSW
Title
Clinical Director / Owner
Phone
(925) 648-2650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

4185 Blackhawk Plaza Cir
Suite 250
Danville, CA 94506

Mailing address

PO Box 2061
Danville, CA 94526-7061
Phone (925) 648-2650

Other identifiers 1

IdentifierTypeStateIssuer
1285000174MedicaidCA

Other names 1

  • Blackhawk TMS Center Doing business as

National Provider Directory

National Provider Directory

Locations

4185 Blackhawk Plaza Cir
Ste 250
Danville, CA 94506
Phone (925) 648-2650

1100 Trancas St
Ste 265
Napa, CA 94558
Phone (707) 224-6582

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1285000174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2061",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945267061",
            "telephone_number": "925-648-2650",
            "fax_number": "925-648-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 BLACKHAWK PLAZA CIR",
            "address_2": "SUITE 250",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "94506",
            "telephone_number": "925-648-2650",
            "fax_number": "925-648-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM SHRYER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "SHRYER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR / OWNER",
        "authorized_official_telephone_number": "925-648-2650",
        "authorized_official_credential": "LCSW, DCSW"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285000174",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackhawk TMS Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.