William J Medick, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301006254 Issued in MI

Practice address

228 W Washington St Ste 7
Marquette, MI 49855-4330

Phone

(734) 692-5855

Fax

(906) 273-1084

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mercy Memorial Hospital Corporatio

  • General Acute Care Hospital
  • Monroe, MI
  • NPI 1811097223
  Medicare reassignment NPD
• Up Telehealth, LLC

  • Clinical Psychologist
  • Marquette, MI
  • NPI 1538767678
  Medicare reassignment

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1669577201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W WASHINGTON ST STE 7",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554330",
            "telephone_number": "734-241-3891",
            "fax_number": "734-241-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W WASHINGTON ST STE 7",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554330",
            "telephone_number": "734-692-5855",
            "fax_number": "906-273-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDICK",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301006254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med Pros Share
• Terry Allen Meden, MD
• Medical Acne & Skin Care
• Medical Laboratories of Marquette, PC
• Catherine F. Medick, LLP
• Mediride, Inc.
• Christopher J Mehall, MD
• Meijer, Inc.
• Melanie Purres MDPC
• Lauren Kristine Melendez-Rivero

• Psychologist in Marquette, MI
• Providers in Marquette, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.