Active NPI
William Harris Porter, PHD
- Clinical Psychologist
- Mt Pleasant, IA
National Provider Identifier
1508991613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 00594
- Practice address
- 307 W Monroe St
Mt Pleasant, IA 52641-2112 - Phone
- (319) 385-4277
- Fax
- (319) 395-4277
- NPI assigned
- Feb 22, 2007
- 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 | 00594 | IA | Primary |
Addresses
Primary practice location
307 W Monroe St
Mt Pleasant, IA 52641-2112
Mailing address
307 W Monroe St
Mt Pleasant, IA 52641-2112
Phone (319) 385-4277
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0264903 | Other | IA | UBH ID |
| 15821 | Other | IA | BCBS OF NORTH DAKOTA |
| 0264903 | Medicaid | IA | |
| 42152563801 | Other | IA | JOHN DEERE HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161209001905 | IA | Practitioner - Clinical Psychologist | 8729368675 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Earth Please Foundation | Past | Accepting new patients | |
| Optimae Lifeservices, Inc, | Past | Accepting new patients | |
| Nurse in the House, Inc. | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Mount Pleasant, IA
- NPI 1295140424
-
- Home Health Agency
- Des Moines, IA
- NPI 1598196040
-
- Community/Behavioral Health Agency
- Fairfield, IA
- NPI 1174520084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1508991613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 W MONROE ST",
"city": "MT PLEASANT",
"state": "IA",
"postal_code": "526412112",
"telephone_number": "319-385-4277",
"fax_number": "319-395-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 W MONROE ST",
"city": "MT PLEASANT",
"state": "IA",
"postal_code": "526412112",
"telephone_number": "319-385-4277",
"fax_number": "319-395-4277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "WILLIAM",
"middle_name": "HARRIS",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "00594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH ID",
"identifier": "0264903",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NORTH DAKOTA",
"identifier": "15821",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0264903",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH",
"identifier": "42152563801",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.