Individual provider Active NPI

William Edwin Scheurer Jr., PHD

  • Psychologist
  • East Lansing, MI
National Provider Identifier
1770674277
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301001713 Issued in MI
Practice address
1006 Wildwood Dr
East Lansing, MI 48823-3052
Phone
(517) 349-5663
Fax
(517) 349-8212
NPI assigned
Sep 27, 2006
Last updated
Sep 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301001713 MI Primary

Addresses

Primary practice location

1006 Wildwood Dr
East Lansing, MI 48823-3052

Mailing address

2165 Commons Parkway
Okemos, MI 48864
Phone (517) 349-5663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120516000588 MI Practitioner - Clinical Psychologist 9335302058 Practice locations: East Lansing, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301008593MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Okemos Psychological Consultanats Psychologist Past Accepting new patients
Blue Arrow Therapy Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1770674277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 COMMONS PARKWAY",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "48864",
            "telephone_number": "517-349-5663",
            "fax_number": "517-349-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 WILDWOOD DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233052",
            "telephone_number": "517-349-5663",
            "fax_number": "517-349-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEURER",
        "first_name": "WILLIAM",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301001713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.