Active NPI
William Jeffrey Canar, PH.D.
- Clinical Psychologist
- Hines, IL
National Provider Identifier
1861506248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 71006618
- Practice address
- Hines VA, Sci Center, BLDG 128
Hines VA, Sci Center, BLDG 128
Hines, IL 60141-5000 - Phone
- (708) 202-7415
- NPI assigned
- Aug 19, 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 | 71006618 | IL | Primary |
Addresses
Primary practice location
Hines VA, Sci Center, BLDG 128
Hines VA, Sci Center, BLDG 128
Hines, IL 60141-5000
Mailing address
Hines VA, Sci Center, BLDG 128
Hines, IL 60141-5000
Phone (708) 202-7415
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71006618 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861506248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HINES VA, SCI CENTER, BLDG 128",
"city": "HINES",
"state": "IL",
"postal_code": "601415000",
"telephone_number": "708-202-7415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HINES VA, SCI CENTER, BLDG 128",
"address_2": "HINES VA, SCI CENTER, BLDG 128",
"city": "HINES",
"state": "IL",
"postal_code": "601415000",
"telephone_number": "708-202-7415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANAR",
"first_name": "WILLIAM",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "71006618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.