Active NPI
William Michael Price, PSYD.
- Psychologist
- Oakland, CA
National Provider Identifier
1366633406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY21004
- Practice address
- 3301 E 12TH St
Oakland, CA 94601-3424 - Phone
- (510) 269-9091
- NPI assigned
- Aug 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 21004 | CA | |
| Psychologist | 103T00000X | PSY21004 | CA | Primary |
Addresses
Primary practice location
3301 E 12TH St
Oakland, CA 94601-3424
Mailing address
1307 Milvia St
Berkeley, CA 94709-1934
Phone (510) 558-0355
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 |
|---|---|---|---|
| PSY21004 | CA | MD | Psychologist |
| PSY 21004 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1366633406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 MILVIA ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947091934",
"telephone_number": "510-558-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 E 12TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946013424",
"telephone_number": "510-269-9091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "WILLIAM",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PSYD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 21004",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY21004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.