Active NPI
William Roland McCuller, PH.D.
- Clinical Psychologist
- Morganton, NC
National Provider Identifier
1861547325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1195
- Practice address
- 106 Edgewood Ave
Morganton, NC 28655-4422 - Phone
- (828) 238-5587
- NPI assigned
- Jan 24, 2007
- 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 | 1195 | NC | Primary |
Addresses
Primary practice location
106 Edgewood Ave
Morganton, NC 28655-4422
Mailing address
106 Edgewood Ave
Morganton, NC 28655-4422
Phone (828) 238-5587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000805 | Medicaid | NC |
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 |
|---|---|---|---|
| 1195 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861547325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 EDGEWOOD AVE",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554422",
"telephone_number": "828-238-5587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 EDGEWOOD AVE",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554422",
"telephone_number": "828-238-5587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLER",
"first_name": "WILLIAM",
"middle_name": "ROLAND",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000805",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.