Active NPI
William Carl Heitland, ED.D
- Psychologist
- Sulphur, OK
National Provider Identifier
1770508368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 408
- Practice address
- 2601 Masters Rd
Sulphur, OK 73086-9067 - Phone
- (580) 399-6124
- Fax
- (580) 332-7114
- NPI assigned
- Jul 13, 2006
- 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 | 408 | OK | Primary |
Addresses
Primary practice location
2601 Masters Rd
Sulphur, OK 73086-9067
Mailing address
2601 Masters Rd
Sulphur, OK 73086-9067
Phone (580) 399-6124
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1770508368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 MASTERS RD",
"city": "SULPHUR",
"state": "OK",
"postal_code": "730869067",
"telephone_number": "580-399-6124",
"fax_number": "580-332-7114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 MASTERS RD",
"city": "SULPHUR",
"state": "OK",
"postal_code": "730869067",
"telephone_number": "580-399-6124",
"fax_number": "580-332-7114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEITLAND",
"first_name": "WILLIAM",
"middle_name": "CARL",
"name_prefix": "Dr.",
"credential": "ED.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OK",
"license": "408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sulphur, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.