Active NPI
William C. Prince, PSY.D.
- Prescribing (Medical) Psychologist
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- PSY-2025-0107
- Practice address
- 1635 S Don Roser Dr
Las Cruces, NM 88011 - Phone
- (323) 804-3590
- NPI assigned
- Sep 22, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY22883 | CA | |
| Clinical Psychologist | 103TC0700X | PSY1675 | NM | |
| Prescribing (Medical) Psychologist | 103TP0016X | PSY-2025-0107 | NM | Primary |
Addresses
Primary practice location
1635 S Don Roser Dr
Las Cruces, NM 88011
Mailing address
150 The Promenade N Unit 515
Long Beach, CA 90802-4757
Phone (323) 804-3590
Other practice location 1
17777 Center Court Dr N Ste 600
Cerritos, CA 90703-8575
Phone (323) 804-3590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1635 S Don Roser Dr
Las Cruces, NM 88011-4550
Phone (575) 636-2506
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY22883 | CA | MD | Clinical Psychologist |
| PSY1675 | NM | MD | Clinical Psychologist |
| PSY-2025-0107 | NM | MD | Prescribing (Medical) Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inetmed RX2 Inc. | Clinical | Current | Accepting new patients |
Locations
1635 S Don Roser Dr
Ste A
Las Cruces, NM 88011
Phone (575) 635-2506
1635 S Don Roser Dr
Las Cruces, NM 88011
Phone (575) 522-1241
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1912006024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 THE PROMENADE N UNIT 515",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024757",
"telephone_number": "323-804-3590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 S DON ROSER DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88011",
"telephone_number": "323-804-3590"
}
],
"practiceLocations": [
{
"address_1": "17777 Center Court Dr N Ste 600",
"address_purpose": "LOCATION",
"city": "Cerritos",
"state": "CA",
"postal_code": "907038575",
"country_code": "US",
"telephone_number": "323-804-3590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRINCE",
"first_name": "WILLIAM",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY22883",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "PSY1675",
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "NM",
"license": "PSY-2025-0107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.