Individual provider Active NPI

William J Coleman

  • Psychologist
  • Uniontown, PA
National Provider Identifier
1487979894
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS000195L Issued in PA
Practice address
58 W Main St
2ND Floor
Uniontown, PA 15401-3303
Phone
(724) 430-0988
Fax
(724) 430-0821
NPI assigned
Mar 30, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS000195L PA Primary

Addresses

Primary practice location

58 W Main St
2ND Floor
Uniontown, PA 15401-3303

Mailing address

208 W Cedar Ave
Connellsville, PA 15425-4438
Phone (724) 628-4326

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
PS000195LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1487979894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W CEDAR AVE",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154254438",
            "telephone_number": "724-628-4326",
            "fax_number": "724-430-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 W MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013303",
            "telephone_number": "724-430-0988",
            "fax_number": "724-430-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-30",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS000195L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.