Active NPI
William Paul Andrews, PHD
- Clinical Psychologist
- Tyler, TX
National Provider Identifier
1811900723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 25607
- Practice address
- 306 E Houston St
Tyler, TX 75702-8218 - Phone
- (903) 581-2085
- NPI assigned
- Aug 14, 2006
- Last updated
- Dec 23, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 25607 | TX | Primary |
Addresses
Primary practice location
306 E Houston St
Tyler, TX 75702-8218
Mailing address
PO Box 6691
Tyler, TX 75711-6691
Phone (903) 581-2085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122194701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100615000100 | TX | Practitioner - Clinical Psychologist | 7214067479 | Practice locations: Port Isabel, TX; Tyler, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25607 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293062400000",
"number": "1811900723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6691",
"city": "TYLER",
"state": "TX",
"postal_code": "757116691",
"telephone_number": "903-581-2085",
"fax_number": "903-595-1645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 E HOUSTON ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757028218",
"telephone_number": "903-581-2085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "WILLIAM",
"middle_name": "PAUL",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2010-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "25607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122194701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.