Active NPI
William C Proctor
- Psychologist
- Tacoma, WA
National Provider Identifier
1881653178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY00000621
- Practice address
- 9040 Fitzsimmons Dr
Madigan Army Medical Center
Tacoma, WA 98433-1100 - Phone
- (253) 968-1351
- Fax
- (253) 968-3731
- NPI assigned
- Mar 23, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY00000621 | WA | Primary |
Addresses
Primary practice location
9040 Fitzsimmons Dr
Madigan Army Medical Center
Tacoma, WA 98433-1100
Mailing address
9040 Fitzsimmons Dr
Madigan Army Medical Center
Tacoma, WA 98433-1100
Phone (253) 968-1351
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399507200000",
"number": "1881653178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040 FITZSIMMONS DR",
"address_2": "MADIGAN ARMY MEDICAL CENTER",
"city": "TACOMA",
"state": "WA",
"postal_code": "984331100",
"telephone_number": "253-968-1351",
"fax_number": "253-968-3731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 FITZSIMMONS DR",
"address_2": "MADIGAN ARMY MEDICAL CENTER",
"city": "TACOMA",
"state": "WA",
"postal_code": "984331100",
"telephone_number": "253-968-1351",
"fax_number": "253-968-3731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCTOR",
"first_name": "WILLIAM",
"middle_name": "C",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2014-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY00000621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
- Scott S Probst, DDS
- Proctor Chiropractic Inc. PS
- Proctor Medical Clinic
- Proctor Personal MD, PLLC
- Proctor Vision Clinic, PLLC
- Professional Pharmacy Services, Inc.
- Professional Portable Radiologic Services Inc
- Professional Portable Radiologic Services Inc
- Professional Vision Services, PS
- Brittney Anne Proffitt, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.