Individual provider Active NPI

William Spencer Payne, PHD

  • Clinical Psychologist
  • Lawrence, KS
National Provider Identifier
1700869351
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1042 Issued in KS
Practice address
5040 Bob Billings Pkwy
Ste D2
Lawrence, KS 66049-3873
Phone
(785) 312-0474
Fax
(888) 607-5875
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1042 KS Primary

Addresses

Primary practice location

5040 Bob Billings Pkwy
Ste D2
Lawrence, KS 66049-3873

Mailing address

5040 Bob Billings Pkwy
Ste D2
Lawrence, KS 66049-3873
Phone (785) 312-0474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20041115000588 KS Practitioner - Clinical Psychologist 9537123096 Practice locations: Lawrence, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5040 Bob Billings Pkwy
D2
Lawrence, KS 66049-3873

5040 Bob Billings Pkwy
Suite D2
Lawrence, KS 66049-3843
Phone (785) 312-0474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1042KSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
BPH LLC Past Accepting new patients
John T Bopp PC Clinical Past Accepting new patients
Mental Health Collective, LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1700869351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 BOB BILLINGS PKWY",
            "address_2": "STE D2",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493873",
            "telephone_number": "785-312-0474",
            "fax_number": "888-607-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 BOB BILLINGS PKWY",
            "address_2": "STE D2",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493873",
            "telephone_number": "785-312-0474",
            "fax_number": "888-607-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "WILLIAM",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.