William Parker PHD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301007243 Issued in MI

Legal business name

WILLIAM PARKER PHD PC

Practice address

2894 Thornapple River Dr SE
Grand Rapids, MI 49546-6857

Phone

(616) 285-6080

Fax

(616) 285-5466

NPI assigned

Mar 11, 2013

Organization subpart

No

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

Authorized official

Name

William L Parker III, PHDNPI 1093926198

Title

Owner

Phone

(616) 285-6080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 4

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

• William L Parker III, PHD

  • Counseling Psychologist
  • Grand Rapids, MI
  • NPI 1093926198
  Medicare reassignment Authorized official
• Marianne Dunn, PSY.D.

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1174740088
  NPD (past)
• Charles E. Grayson, PH.D.

  • Psychologist
  • Grand Rapids, MI
  • NPI 1942405303
  NPD (past)
• Holly Ann Perkins, M.D.

  • Psychiatry Physician
  • Grand Rapids, MI
  • NPI 1669546537
  NPD (past)

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1821339250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2894 THORNAPPLE RIVER DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466857",
            "telephone_number": "616-285-6080",
            "fax_number": "616-285-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2894 THORNAPPLE RIVER DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466857",
            "telephone_number": "616-285-6080",
            "fax_number": "616-285-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM PARKER PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-285-6080",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301007243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Sabin Willey, OTD, OTR/L
• William Blake Kooi
• William C Padding, LMSW, Acsw, PC
• William J. Weitzel LMSW
• William Kim DDS PLLC
• William R. Syverson D.D.S., P.C.
• Samantha Williams Al-Kharusy
• Ahnetra Williams
• Amanda Lee Williams, MD
• Amyre Williams

• Clinical Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.