Active NPI
William John Warnken, PSY.D
- Forensic Psychologist
- Worcester, MA
National Provider Identifier
1588700975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 6662
- Practice address
- 305 Belmont Street
Forensic Service
Worcester, MA 01604 - Phone
- (508) 368-3439
- Fax
- (508) 363-1506
- NPI assigned
- Jan 30, 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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 6662 | MA | Primary |
Addresses
Primary practice location
305 Belmont Street
Forensic Service
Worcester, MA 01604
Mailing address
Worcester State Hospital, 305 Belmont Street
Forensic Service
Worcester, MA 01604
Phone (508) 368-3439
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6662 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588700975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WORCESTER STATE HOSPITAL, 305 BELMONT STREET",
"address_2": "FORENSIC SERVICE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01604",
"telephone_number": "508-368-3439",
"fax_number": "508-363-1506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 BELMONT STREET",
"address_2": "FORENSIC SERVICE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01604",
"telephone_number": "508-368-3439",
"fax_number": "508-363-1506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNKEN",
"first_name": "WILLIAM",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MA",
"license": "6662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
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.