Individual provider Active NPI

William Harrison Wells

  • Cognitive & Behavioral Psychologist
  • Rock Hill, SC
National Provider Identifier
1346410446
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
235 Issued in SC
Practice address
1665 Herlong CT Ste B
Rock Hill, SC 29732-1193
Phone
(803) 328-0030
Fax
(803) 980-7276
NPI assigned
Mar 4, 2008
Last updated
Mar 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 235 SC Primary
Counseling Psychologist 103TC1900X 235 SC

Addresses

Primary practice location

1665 Herlong CT Ste B
Rock Hill, SC 29732-1193

Mailing address

PO Box 37567
Rock Hill, SC 29732-0526
Phone (803) 328-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20120301000910 SC Practitioner - Clinical Psychologist 6901073154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2059 High Pines Rd
Rock Hill, SC 29732-9361
Phone (803) 328-0030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Psychological & Counseling Associates, LLC Counseling CurrentSince Jun 1, 2001 Accepting new patients
Amisub of South Carolina, Inc. Past Accepting new patients
Amisub of South Carolina, Inc. Past Accepting new patients

Locations

1665 Herlong Ct
#B
Rock Hill, SC 29732
Phone (803) 324-1028

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1346410446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37567",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297320526",
            "telephone_number": "803-328-0030",
            "fax_number": "803-980-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 HERLONG CT STE B",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321193",
            "telephone_number": "803-328-0030",
            "fax_number": "803-980-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "WILLIAM",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "SC",
            "license": "235",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "SC",
            "license": "235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.