Active NPI
William M Dince, PHD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1548505241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 010713
- Practice address
- 952 5TH Ave
Suite 2D
New York, NY 10075-1740 - Phone
- (212) 535-7350
- NPI assigned
- Dec 6, 2012
- Last updated
- Dec 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 010713 | NY | Primary |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 010713 | NY |
Addresses
Primary practice location
952 5TH Ave
Suite 2D
New York, NY 10075-1740
Mailing address
952 5TH Ave
Suite 2D
New York, NY 10075-1740
Phone (212) 535-7350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010713 | Other | NY | NYS PSYCHOLOGIST LICENSE |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010713 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1548505241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "952 5TH AVE",
"address_2": "SUITE 2D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751740",
"telephone_number": "212-535-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "952 5TH AVE",
"address_2": "SUITE 2D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751740",
"telephone_number": "212-535-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINCE",
"first_name": "WILLIAM",
"middle_name": "M",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-06",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "010713",
"primary": true
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "NY",
"license": "010713",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS PSYCHOLOGIST LICENSE",
"identifier": "010713",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.