Active NPI
William Bercaw, PSY.D
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1447515226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY18848
- Practice address
- 600 S Lake Ave
#506
Pasadena, CA 91106-3955 - Phone
- (626) 396-9306
- NPI assigned
- Jul 9, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY18848 | CA | Primary |
Addresses
Primary practice location
600 S Lake Ave
#506
Pasadena, CA 91106-3955
Mailing address
600 S Lake Ave
#506
Pasadena, CA 91106-3955
Phone (626) 396-9306
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 |
|---|---|---|---|
| PSY18848 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341792000000",
"number": "1447515226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S LAKE AVE",
"address_2": "#506",
"city": "PASADENA",
"state": "CA",
"postal_code": "911063955",
"telephone_number": "626-396-9306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S LAKE AVE",
"address_2": "#506",
"city": "PASADENA",
"state": "CA",
"postal_code": "911063955",
"telephone_number": "626-396-9306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERCAW",
"first_name": "WILLIAM",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-09",
"last_updated": "2012-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY18848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.