Individual provider Active NPI

William Donald Newsome Jr., BCBA, LBA

  • Behavior Analyst
  • Reno, NV
National Provider Identifier
1487951992
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-10-7931
Practice address
3953 S McCarran Blvd
Reno, NV 89502-7510
Phone
(775) 544-8421
NPI assigned
Feb 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-10-7931 Primary
Behavior Analyst 103K00000X LBAT041511 NV

Addresses

Primary practice location

3953 S McCarran Blvd
Reno, NV 89502-7510

Mailing address

3953 S McCarran Blvd
Reno, NV 89502-7510
Phone (775) 826-3111

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

LicenseStateTypeSpecialty
LBAT041511NVMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Advanced Learning Inc 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": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1487951992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3953 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895027510",
            "telephone_number": "775-826-3111",
            "fax_number": "775-826-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3953 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895027510",
            "telephone_number": "775-544-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "WILLIAM",
        "middle_name": "DONALD",
        "name_suffix": "Jr.",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-10-7931",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBAT041511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.