William L Retts, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

354 Issued in AZ

Practice address

11024 N 28TH Dr #290
Phoenix, AZ 85029-4373

Phone

(602) 870-7710

Fax

(602) 734-0692

NPI assigned

May 24, 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

Enrolled in AZ

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

Specialty

Clinical Psychologist

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Bill Retts PHD PC

  • Clinical Psychologist
  • Phoenix, AZ
  • NPI 1710167663
  Medicare reassignment NPD Authorized official
• Peak Mental Health LLC

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1912626193
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1790730117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11024 N 28TH DR #290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294373",
            "telephone_number": "602-870-7710",
            "fax_number": "602-734-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11024 N 28TH DR #290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294373",
            "telephone_number": "602-870-7710",
            "fax_number": "602-734-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETTS",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0130920",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Retinal Consultants of Arizona LTD
• Laura Lynn Retson, DO
• Jennifer Alice Retterer, PHARMD
• Ruth Rettig, RNC WMNP
• Meghan Danielle Rettler, PA-C
• Michael Retzer
• Megan Retzlaff, RBT
• Blair I Reuben, MD
• Reunion Rehabilitation Hospital Phoenix, LLC
• Chris S. Reust, MD

• Clinical Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.