Individual provider Active NPI

Michael Perry Bills Jr., ED.S

  • School Psychologist
  • East Wenatchee, WA
National Provider Identifier
1609110436
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
316993E Issued in WA
Practice address
955 3Rd St NE
East Wenatchee, WA 98802-4962
Phone
(509) 888-1240
Fax
(509) 884-8805
NPI assigned
Nov 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 316993E WA Primary

Addresses

Primary practice location

955 3Rd St NE
East Wenatchee, WA 98802-4962

Mailing address

955 3Rd St NE
East Wenatchee, WA 98802-4962
Phone (509) 888-1240

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

LicenseStateTypeSpecialty
316993EWAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1609110436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 3RD ST NE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988024962",
            "telephone_number": "509-888-1240",
            "fax_number": "509-884-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 3RD ST NE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988024962",
            "telephone_number": "509-888-1240",
            "fax_number": "509-884-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLS",
        "first_name": "MICHAEL",
        "middle_name": "PERRY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ED.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WA",
            "license": "316993E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.