Active NPI
William I Pappadake, PSYD
- Clinical Psychologist
- Yorktown, VA
National Provider Identifier
1548363047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810001236
- Practice address
- 205 Hampton Hwy
Yorktown, VA 23693 - Phone
- (757) 865-1843
- Fax
- (757) 865-7485
- NPI assigned
- Sep 7, 2006
- 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 | 0810001236 | VA | Primary |
Addresses
Primary practice location
205 Hampton Hwy
Yorktown, VA 23693
Mailing address
205 Hampton Hwy
Associates of York
Yorktown, VA 23693
Phone (757) 865-1843
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 775112-5 | Medicaid | VA | |
| 133117 | Other | MHN | |
| 096047 | Other | BCBS VA05 | |
| 096047 | Other | BCBS ROANOKE | |
| 096047 | Other | ANTHEM HEALTH KEEPERS | |
| 022161000 | Other | MAGELLAN | |
| 096047 | Other | BCBS FEP | |
| 096047 | Other | BCBS PENN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810001236 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548363047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 HAMPTON HWY",
"address_2": "ASSOCIATES OF YORK",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "23693",
"telephone_number": "757-865-1843",
"fax_number": "757-865-7485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 HAMPTON HWY",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "23693",
"telephone_number": "757-865-1843",
"fax_number": "757-865-7485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPPADAKE",
"first_name": "WILLIAM",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810001236",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "775112-5",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "133117",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS VA05",
"identifier": "096047",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ROANOKE",
"identifier": "096047",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTH KEEPERS",
"identifier": "096047",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "022161000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FEP",
"identifier": "096047",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PENN",
"identifier": "096047",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Yorktown, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.