William Mace, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

413 Issued in AL

Practice address

100 Memorial Hospital Dr Ste 2a
Mobile, AL 36608-1199

Phone

(251) 344-2762

Fax

(251) 344-5492

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1599/brand/1/csg/341/fhir/r4

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

• Foley Clinic Corp

  • Durable Medical Equipment & Medical Supplies
  • Foley, AL
  • NPI 1427296029
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1780609784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEMORIAL HOSPITAL DR STE 2A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081199",
            "telephone_number": "251-344-2762",
            "fax_number": "251-344-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEMORIAL HOSPITAL DR STE 2A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081199",
            "telephone_number": "251-344-2762",
            "fax_number": "251-344-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACE",
        "first_name": "WILLIAM",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER#",
            "identifier": "510-08719",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Ma
• Karam Maatouk
• Jacqueline Marie Macdonald, PT
• Charlotte Steelman Macdonell, MD
• Kyle Matthew Mace, PA-S
• Tondalaya Denise Mack
• Audrey Macklin
• Leigh Ann Macon, LPC
• David Haskins Macrae, MD
• Scott Christopher Macrae, D.M.D.

• Clinical Psychologist in Mobile, AL
• Providers in Mobile, AL by specialty
• Clinical Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.