Active NPI
William Byron Reese Jr., L.L.P.
- Psychologist
- Canton, MI
National Provider Identifier
1710280995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301014005
- Practice address
- 511 Waterview CT
Canton, MI 48188-6261 - Phone
- (734) 927-4768
- NPI assigned
- Dec 10, 2010
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301014005 | MI | Primary |
Addresses
Primary practice location
511 Waterview CT
Canton, MI 48188-6261
Mailing address
511 Waterview Court
Canto, MI 48188-3876
Phone (734) 645-8320
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014005 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1710280995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 WATERVIEW COURT",
"city": "CANTO",
"state": "MI",
"postal_code": "481883876",
"telephone_number": "734-645-8320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 WATERVIEW CT",
"city": "CANTON",
"state": "MI",
"postal_code": "481886261",
"telephone_number": "734-927-4768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "WILLIAM",
"middle_name": "BYRON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "L.L.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-10",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301014005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.