William Ursillo, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

013010-1 Issued in NY

Practice address

529 Courtlandt Ave
Bronx, NY 10451-5007

Phone

(718) 993-7700

NPI assigned

Sep 10, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Cardinal McCloskey School & Home for Children, Inc.

  • Community/Behavioral Health Agency
  • Bronx, NY
  • NPI 1104337922
  NPD
• Cardinal McCloskey School and Home for Children

  • Case Management Agency
  • Bronx, NY
  • NPI 1275044869
  NPD (past)

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1407461031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E STEVENS AVE STE LL5",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951286",
            "telephone_number": "914-450-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 COURTLANDT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515007",
            "telephone_number": "718-993-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSILLO",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013010-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013010-1",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wursillo@cmcs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "529 Courtlandt Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104515007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lilia P Urias, LCSW
• Alejandra M Uribe, D.O.
• Yaniris Uribe, MS ED GEN AND SP ED
• Carlos E Urriola, R.PH.
• Jackeline Urrutia-Monteleone, MD
• Lorni P Ursua, PT
• Urvi Pharmacy Inc
• US Dental Care P.C.
• US Dental Choice P.L.L.C
• USA Optical LLC

• Psychologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.