William Nunn, PHD, HSPP

Key facts

NPI

1689625832

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Psychologist 103TC0700X

License

20041024 (IN)

Practice address

239 Hillsdale Ave
Greencastle, IN 46135-1340

Phone

(765) 653-1024

Fax

(765) 653-4931

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 2

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.

• Hamilton Center Inc. Methadone Clinic · Vincennes, IN · NPI 1265053854
  NPD (past)
• Hamilton Center, Inc. Community/Behavioral Health Agency · Terre Haute, IN · NPI 1649007774
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Philosophy

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 15, 2011.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1689625832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4323",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478040323",
            "telephone_number": "812-231-8323",
            "fax_number": "812-231-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 HILLSDALE AVE",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461351340",
            "telephone_number": "765-653-1024",
            "fax_number": "765-653-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNN",
        "first_name": "WILLIAM",
        "credential": "PHD, HSPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200067860",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Greencastle, IN · Clinical Psychologist in Indiana