Individual provider Active NPI

William R Hale, MD

  • Psychiatry Physician
  • Lawrence, KS
National Provider Identifier
1386687697
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0418723 Issued in KS
Practice address
1110 Parkside Rd
Lawrence, KS 66049-3403
Phone
(913) 649-1810
Fax
(785) 370-3660
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0418723 KS Primary

Addresses

Primary practice location

1110 Parkside Rd
Lawrence, KS 66049-3403

Mailing address

1110 Parkside Rd
Lawrence, KS 66049-3403
Phone (913) 649-1810

Other identifiers 1

IdentifierTypeStateIssuer
100181100MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2010 through Jan 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Behavioral Health PastSince May 10, 2001 Accepting new patients
Mahasen T Desilva Psychiatry Past Accepting new patients
Mind-Body Health Professionals, P.a. PastSince Jun 18, 2009 Accepting new patients
Prairie View, Inc. Psychiatry PastSince Aug 1, 1996 Accepting new patients
Prairie View, Inc. Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1386687697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PARKSIDE RD",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493403",
            "telephone_number": "913-649-1810",
            "fax_number": "785-370-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PARKSIDE RD",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493403",
            "telephone_number": "913-649-1810",
            "fax_number": "785-370-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "0418723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100181100",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.