Individual provider Active NPI

William Thornton, PHD

  • Clinical Psychologist
  • Fort Smith, AR
National Provider Identifier
1528219839
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
08-21P Issued in AR
Practice address
5111 Rogers Ave
Ste 535
Fort Smith, AR 72903-2047
Phone
(479) 452-7792
NPI assigned
Oct 6, 2008
Last updated
Jul 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 08-21P AR Primary
Clinical Child & Adolescent Psychologist 103TC2200X 08-21P AR

Addresses

Primary practice location

5111 Rogers Ave
Ste 535
Fort Smith, AR 72903-2047

Mailing address

5111 Rogers Ave
Ste 535
Fort Smith, AR 72903-2047
Phone (479) 629-3737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20120328000916 AR Practitioner - Clinical Psychologist 8224298294 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08-21PARMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Arkansas Counseling & Guidance Center, Inc CurrentSince Oct 1, 2020 Accepting new patients
The Guidance Center - Whole Health CurrentSince Oct 1, 2020 Accepting new patients
Perspectives Behavioral Health Management, LLC Past Accepting new patients

Locations

3111 S 70th St
Fort Smith, AR 72903

3113 S 70th St
Fort Smith, AR 72903
Phone (479) 478-6664

1857 Rice St
Waldron, AR 72958
Phone (479) 637-2468

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1528219839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 ROGERS AVE",
            "address_2": "STE 535",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032047",
            "telephone_number": "479-629-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 ROGERS AVE",
            "address_2": "STE 535",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032047",
            "telephone_number": "479-452-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "WILLIAM",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-06",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "08-21P",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AR",
            "license": "08-21P",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.