Active NPI
William J Ray, PHD
- Clinical Psychologist
- University Park, PA
National Provider Identifier
1851450704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS002071KL
- Practice address
- 314 Moore Building
University Park, PA 16802 - Phone
- (814) 865-2191
- Fax
- (814) 863-1331
- NPI assigned
- Dec 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 | PS002071KL | PA | Primary |
Addresses
Primary practice location
314 Moore Building
University Park, PA 16802
Mailing address
314 Moore BLDG
University Park, PA 16802-3103
Phone (814) 865-2191
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1997352 | Other | PA | HIGHMARK BLUE SHIELD |
| 1000740 | Other | PA | COMMUNITY CARE BEHAVIORAL HEALTH |
| 2057186 | Other | PA | CIGNA BEHAVIORAL HEALTH |
| A334449B | Other | PA | EMPIRE BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| PS002071KL | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1851450704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 MOORE BLDG",
"city": "UNIVERSITY PARK",
"state": "PA",
"postal_code": "168023103",
"telephone_number": "814-865-2191",
"fax_number": "814-863-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 MOORE BUILDING",
"city": "UNIVERSITY PARK",
"state": "PA",
"postal_code": "16802",
"telephone_number": "814-865-2191",
"fax_number": "814-863-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "WILLIAM",
"middle_name": "J",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-07",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS002071KL",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1997352",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY CARE BEHAVIORAL HEALTH",
"identifier": "1000740",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2057186",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
"identifier": "A334449B",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in University Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.