Active NPI
William Benjamin Hookstra, M.A.
- School Psychologist
- Mohave Valley, AZ
National Provider Identifier
1639337132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 4013950
- Practice address
- 8450 Olive Ave
Mohave Valley, AZ 86440-9214 - Phone
- (928) 768-4538
- NPI assigned
- May 30, 2008
- Last updated
- May 30, 2008
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 4013950 | AZ | Primary |
Addresses
Primary practice location
8450 Olive Ave
Mohave Valley, AZ 86440-9214
Mailing address
10337 Midnight Iris St
Las Vegas, NV 89183-4284
Phone (702) 715-7681
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4013950 | AZ | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1639337132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10337 MIDNIGHT IRIS ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891834284",
"telephone_number": "702-715-7681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8450 OLIVE AVE",
"city": "MOHAVE VALLEY",
"state": "AZ",
"postal_code": "864409214",
"telephone_number": "928-768-4538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOKSTRA",
"first_name": "WILLIAM",
"middle_name": "BENJAMIN",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-30",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "4013950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mohave Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.