Organization Active NPI

William Sackley Psychologist

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Weldon Spring, MO
National Provider Identifier
1801719901
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WILLIAM SACKLEY PSYCHOLOGIST
Practice address
4910 Sammelman Rd
Weldon Spring, MO 63304-7504
Phone
(847) 217-7669
NPI assigned
Aug 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Dr. William SackleyNPI 1366810319
Title
Psychologist
Phone
(847) 217-7669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4910 Sammelman Rd
Weldon Spring, MO 63304-7504

Mailing address

4910 Sammelman Rd
Weldon Spring, MO 63304-7504
Phone (847) 217-7669

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1801719901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 SAMMELMAN RD",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047504",
            "telephone_number": "847-217-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 SAMMELMAN RD",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047504",
            "telephone_number": "847-217-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM SACKLEY PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "SACKLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-217-7669",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weldon Spring, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.