Active NPI
William Paul Wilkinson III, LMFT
- Marriage & Family Therapist
- Philadelphia, PA
National Provider Identifier
1760727341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF000587
- Practice address
- 5914 Pulaski Ave
Philadelphia, PA 19144-3823 - Phone
- (215) 833-4052
- NPI assigned
- Dec 7, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF000587 | PA | Primary |
Addresses
Primary practice location
5914 Pulaski Ave
Philadelphia, PA 19144-3823
Mailing address
5914 Pulaski Ave
Philadelphia, PA 19144-3823
Phone (215) 833-4052
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 |
|---|---|---|---|
| MF000587 | PA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354838400000",
"number": "1760727341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5914 PULASKI AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191443823",
"telephone_number": "215-833-4052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5914 PULASKI AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191443823",
"telephone_number": "215-833-4052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "WILLIAM",
"middle_name": "PAUL",
"name_suffix": "III",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-07",
"last_updated": "2012-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.