Individual provider Active NPI

William A McBride, PHD

  • Clinical Psychologist
  • Athens, TX
National Provider Identifier
1477581700
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
26853 Issued in TX
Practice address
700 S Palestine St
Athens, TX 75751-3325
Phone
(903) 675-9570
Fax
(903) 675-9577
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 26853 TX Primary

Addresses

Primary practice location

700 S Palestine St
Athens, TX 75751-3325

Mailing address

700 S Palestine St
Athens, TX 75751-3325
Phone (903) 675-9570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20100628000923 TX Practitioner - Clinical Psychologist 3476684911 Reassigns benefits to 1 organization
Practice locations: Grand Saline, TX; Gun Barrel City, TX; Kemp, TX; Mabank, TX; Malakoff, TX; Mexia, TX; Palestine, TX; Teague, TX…

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Texas Psychological Services, PLLCGroup PAC ID 3274702899, 9 clinicians

Practice addresses (Care Compare)

700 S Palestine St
Athens, TX 75751-3325
Phone (903) 675-9570

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26853TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Psychological Services, PLLC Clinical CurrentSince May 5, 2011 Accepting new patients
Etpns Clinical Past Accepting new patients
Community Counseling Center Inc Past Accepting new patients

Locations

711 Lucas Dr
Athens, TX 75751
Phone (903) 675-8538

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

150 Gibson Rd
Athens, TX 75751
Phone (903) 677-5864

8579 State Highway 31 W
Athens, TX 75751
Phone (903) 677-5929

500 Valle Vista Dr
Athens, TX 75751
Phone (903) 677-3434

700 S Palestine St
Athens, TX 75751
Phone (903) 262-8292

603 Wood St
Athens, TX 75751
Phone (903) 675-2002

305 S Palestine St
Athens, TX 75751
Phone (903) 675-2046

1108 S Buffalo St
Canton, TX 75103
Phone (903) 567-1910

901 W College St
Canton, TX 75103
Phone (903) 567-4169

1661 S Buffalo St
Canton, TX 75103
Phone (903) 567-4135

601 E Reunion St
Fairfield, TX 75840
Phone (903) 389-4121

420 Moody St
Fairfield, TX 75840
Phone (903) 389-1236

411 Springcreek Rd
Grand Saline, TX 75140
Phone (903) 962-4226

110 W Troupe St
Mabank, TX 75147
Phone (903) 887-2436

1611 W Royall Blvd
Malakoff, TX 75148
Phone (903) 489-1702

501 E Sumpter St
Mexia, TX 76667
Phone (254) 472-0630

1816 Tile Factory Rd
Palestine, TX 75803
Phone (903) 723-0950

884 US Highway 84 W
Teague, TX 75860
Phone (254) 739-2541

5505 New Copeland Rd
Tyler, TX 75703
Phone (903) 521-9861

2055 W Grande Blvd
Ofc
Tyler, TX 75703

169 S Oak St
Van, TX 75790
Phone (903) 963-8641

117 Twin Cir
Wortham, TX 76693
Phone (254) 765-3377

Organizations & group practices 3

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1477581700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S PALESTINE ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513325",
            "telephone_number": "903-675-9570",
            "fax_number": "903-675-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S PALESTINE ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513325",
            "telephone_number": "903-675-9570",
            "fax_number": "903-675-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "26853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TX

Sources for this page

Verify at the official NPI Registry.