Active NPI
William David Macinnes, PH.D.
- Clinical Neuropsychologist
- Saginaw, MI
National Provider Identifier
1295737229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 6301008040
- Practice address
- 4705 Towne Centre Rd
Ste 304
Saginaw, MI 48604-2821 - Phone
- (989) 921-5100
- Fax
- (989) 921-5104
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 Neuropsychologist | 103G00000X | 6301008040 | MI | Primary |
Addresses
Primary practice location
4705 Towne Centre Rd
Ste 304
Saginaw, MI 48604-2821
Mailing address
4705 Towne Centre Rd
Ste 304
Saginaw, MI 48604-2821
Phone (989) 921-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680G345240 | Other | MI | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511308800000",
"number": "1295737229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705 TOWNE CENTRE RD",
"address_2": "STE 304",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042821",
"telephone_number": "989-921-5100",
"fax_number": "989-921-5104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 TOWNE CENTRE RD",
"address_2": "STE 304",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042821",
"telephone_number": "989-921-5100",
"fax_number": "989-921-5104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACINNES",
"first_name": "WILLIAM",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2017-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MI",
"license": "6301008040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "680G345240",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.