Active NPI
William David Staton, PH.D.
- Clinical Psychologist
- Davidson, NC
National Provider Identifier
1902011406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0828
- Practice address
- 514 North Main St.
Davidson, NC 28036-1936 - Phone
- (704) 894-2451
- Fax
- (704) 894-2615
- NPI assigned
- May 10, 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 | 0828 | NC | Primary |
Addresses
Primary practice location
514 North Main St.
Davidson, NC 28036-1936
Mailing address
113 Labans LN
Lincolnton, NC 28092-8768
Phone (704) 735-9979
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davidson College Student Health Service | 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.
-
- Student Health Clinic/Center
- Davidson, NC
- NPI 1073733390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902011406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 LABANS LN",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280928768",
"telephone_number": "704-735-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 NORTH MAIN ST.",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "280361936",
"telephone_number": "704-894-2451",
"fax_number": "704-894-2615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATON",
"first_name": "WILLIAM",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "0828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davidson, NC
- Emmanuel Adjei Sowah, NP-C
- Jolene Cecelia Spina, DC
- Alexis McKenna Sprankle, PA-C
- Springhealth Behavioral Health and Integrated Care North Carolina, LLC
- Fallon Stapleton, LCSW
- Jessica Stoiber, RD
- Stone Institute of the Carolinas LLC
- Suburban Pediatric Clinic, Inc.
- Amy Kathleen Conn Suggs, CCC-SLP
- Nancy B. Tarte, MD
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.