Active NPI
William Laforge, PH.D.
- Psychologist
- Temecula, CA
National Provider Identifier
1790791705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY8015
- Practice address
- 28362 Vincent Moraga Dr
Ste C
Temecula, CA 92590-3655 - Phone
- (951) 699-9055
- Fax
- (951) 699-8586
- NPI assigned
- Jul 31, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT9355 | CA | |
| Psychologist | 103T00000X | PSY8015 | CA | Primary |
Addresses
Primary practice location
28362 Vincent Moraga Dr
Ste C
Temecula, CA 92590-3655
Mailing address
28362 Vincent Moraga Dr
Ste C
Temecula, CA 92590-3655
Phone (951) 699-9055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134791 | Other | CA | VALUEOPTIONS |
| 71959 | Other | CA | MANAGED HEALTH NETWORK |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY8015 | CA | MD | Psychologist |
| MFT9355 | CA | MD | Marriage & Family Therapist |
| 8015 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1790791705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28362 VINCENT MORAGA DR",
"address_2": "STE C",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925903655",
"telephone_number": "951-699-9055",
"fax_number": "951-699-8586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28362 VINCENT MORAGA DR",
"address_2": "STE C",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925903655",
"telephone_number": "951-699-9055",
"fax_number": "951-699-8586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFORGE",
"first_name": "WILLIAM",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT9355",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY8015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "134791",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "71959",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.