William Paul McInnis, PSY D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301007738 Issued in MI

Practice address

640 Three Mile Rd NW Suite 101
Grand Rapids, MI 49544

Phone

(616) 785-8900

Fax

(616) 785-8949

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• William P. McInnis Psy.D, P.C.

  • Clinical Psychologist
  • Grandville, MI
  • NPI 1871756841
  Medicare reassignment NPD Authorized official
• William C Padding, LMSW, Acsw, PC

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1396081253
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427168285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 THREE MILE RD NW SUITE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49544",
            "telephone_number": "616-785-8900",
            "fax_number": "616-785-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 THREE MILE RD NW SUITE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49544",
            "telephone_number": "616-785-8900",
            "fax_number": "616-785-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINNIS",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301007738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley McGuckin, LLMSW
• Ashley McGuire, LMSW
• Christopher McGuire
• Stephen McGuire
• Jenifer Ann McHugh, MS, AT, ATC
• Julia A. McIntire, MA, LPC
• Amber McIntosh
• Amy McIntosh
• Elizabeth McIntyre, MD
• Hannah Joy McIntyre

• Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.