Active NPI
William Beatty, MD
- Psychiatry Physician
- Mason, OH
National Provider Identifier
1710179106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- N2000
- Practice address
- 4770 Duke Dr Ste 196
Mason, OH 45040-9010 - Phone
- (513) 336-0030
- NPI assigned
- Aug 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | N2000 | TX | Primary |
Addresses
Primary practice location
4770 Duke Dr Ste 196
Mason, OH 45040-9010
Mailing address
6515 Kemp Blvd
Wichita Falls, TX 76308-5419
Phone (940) 692-1220
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N2000 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256515200000",
"number": "1710179106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6515 KEMP BLVD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763085419",
"telephone_number": "940-692-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4770 DUKE DR STE 196",
"city": "MASON",
"state": "OH",
"postal_code": "450409010",
"telephone_number": "513-336-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-09",
"last_updated": "2009-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "N2000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.