William Jason Payne, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

24256 Issued in TN

Practice address

1060 Broadway
#3032
Albany, NY 12204

Phone

(518) 400-2715

Fax

(518) 519-3331

NPI assigned

Apr 12, 2018

Last updated

May 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652486400000",
    "number": "1760989073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 BROADWAY",
            "address_2": "#3032",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12204",
            "telephone_number": "518-400-2715",
            "fax_number": "518-519-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 BROADWAY",
            "address_2": "#3032",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12204",
            "telephone_number": "518-400-2715",
            "fax_number": "518-519-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 White Bridge Rd Ste 103-243",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372051444",
            "country_code": "US",
            "telephone_number": "615-673-6737",
            "fax_number": "800-474-4039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "WILLIAM",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "24256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.enrichtelepsych.com",
            "affiliation": "N",
            "endpointDescription": "Private Practice Domain",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1060 Broadway",
            "address_2": "#3032",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Louise Pawlikowski, PHARMD
• Andrew N Payne, M.D.
• Annette Payne, PHD
• Baleigh Gabrielle Payne, FNP-BC
• Lisamarie Payne, NP
• William R Payne
• Nicholas Joseph Pazienza, PH.D.
• Kristen Morgan Peace, M.D.
• Jay Peacock, PT
• Rachael Peals

• Psychiatric/Mental Health Nurse Practitioner in Albany, NY
• Providers in Albany, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.