William D Demartini, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY0003060 Issued in FL

Practice address

4324 E Tradewinds Ave
Lauderdale by the Sea, FL 33308-5010

Phone

(954) 772-6707

NPI assigned

Dec 15, 2006

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

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1477615276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 E TRADEWINDS AVE",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333085010",
            "telephone_number": "954-772-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 E TRADEWINDS AVE",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333085010",
            "telephone_number": "954-772-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARTINI",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0003060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clint C Comunale, LCSW
• Craig Depodesta, DO, PA
• Mark A Curatolo
• Curemed
• Lillian Marie Decosimo, M.D.
• Craig Depodesta, D.O.
• Osvail L Dias
• William Irving Dorfman, PH.D.
• Beverly Sue Dowdle, L.M.T.
• Joseph Doyle, RPH, MBA

• Psychologist in Lauderdale by the Sea, FL
• Providers in Lauderdale by the Sea, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.