Individual provider Active NPI

William (Bill) Edward Conti, PHD, LPC, MFT, CADC

  • Psychologist
  • Honolulu, HI
National Provider Identifier
1356372692
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
428 - A Launiu St.
Honolulu, HI 96815-2329
Phone
(213) 880-8262
Fax
(808) 762-4618
NPI assigned
Jul 5, 2006
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 06-R-02 OR
Mental Health Counselor 101YM0800X C1894 OR
Psychologist 103T00000X NU Primary
Marriage & Family Therapist 106H00000X 46459 CA

Addresses

Primary practice location

428 - A Launiu St.
Honolulu, HI 96815-2329

Mailing address

2170 Kuhio Avenue
Apt. 705
Honolulu, HI 96815-2329
Phone (213) 880-8262

Other identifiers 1

IdentifierTypeStateIssuer
126370MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100121000423 CA Practitioner - Clinical Psychologist 0446392922 Practice locations: Palm Springs, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Palm Springs, CA 92264
Phone (213) 880-8262

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
06-R-02ORMDAddiction (Substance Use Disorder) Counselor
C1894ORMDMental Health Counselor
24748CAMDRehabilitation Chiropractor
46459CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1356372692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 KUHIO AVENUE",
            "address_2": "APT. 705",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152329",
            "telephone_number": "213-880-8262",
            "fax_number": "808-762-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 - A LAUNIU ST.",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152329",
            "telephone_number": "213-880-8262",
            "fax_number": "808-762-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTI",
        "first_name": "WILLIAM (BILL)",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, MFT, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "06-R-02",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C1894",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46459",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126370",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.