Individual provider Active NPI

William L. Engels, PH.D.

  • Clinical Psychologist
  • Hingham, MA
National Provider Identifier
1891847232
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4929 Issued in MA
Practice address
175 Derby St
Suite 10
Hingham, MA 02043-4007
Phone
(781) 749-1300
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4929 MA Primary

Addresses

Primary practice location

175 Derby St
Suite 10
Hingham, MA 02043-4007

Mailing address

175 Derby St
Suite 10
Hingham, MA 02043-4007
Phone (781) 749-1300

Other identifiers 1

IdentifierTypeStateIssuer
0519863MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120516000012 MA Practitioner - Clinical Psychologist 6305009176 Practice locations: Hingham, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

175 Derby St
Suite 10
Hingham, MA 02043-4028
Phone (781) 749-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4929MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Psychiatric and Psychological Associates Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891847232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 DERBY ST",
            "address_2": "SUITE 10",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434007",
            "telephone_number": "781-749-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 DERBY ST",
            "address_2": "SUITE 10",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434007",
            "telephone_number": "781-749-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELS",
        "first_name": "WILLIAM",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0519863",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.