Individual provider Active NPI

William Stanley Autrey X

  • Forensic Psychologist
  • San Luis Obispo, CA
National Provider Identifier
1427119916
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
PSY6216 Issued in CA
Practice address
1103 Toro St
San Luis Obispo, CA 93401-3329
Phone
(805) 781-4190
Fax
(805) 781-4189
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 6216 CA
Cognitive & Behavioral Psychologist 103TB0200X PSY6216 CA
Forensic Psychologist 103TF0200X PSY6216 CA Primary

Addresses

Primary practice location

1103 Toro St
San Luis Obispo, CA 93401-3329

Mailing address

1103 Toro St
San Luis Obispo, CA 93401-3329
Phone (805) 781-4190

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PSY 6216CAMDPsychologist
PSY6216CAMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Luis Obispo Past Accepting new patients

Organizations & group practices 1

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1427119916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 TORO ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013329",
            "telephone_number": "805-781-4190",
            "fax_number": "805-781-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 TORO ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013329",
            "telephone_number": "805-781-4190",
            "fax_number": "805-781-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTREY",
        "first_name": "WILLIAM",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "name_suffix": "X",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 6216",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY6216",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY6216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.