Organization Active NPI

P William Psychiatric Nurse Practitioner Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pearl River, NY
National Provider Identifier
1932721859
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
P WILLIAM PSYCHIATRIC NURSE PRACTITIONER SERVICES PLLC
Practice address
1 Blue Hill PLZ Lbby Level
Pearl River, NY 10965-3111
Phone
(888) 516-0397
NPI assigned
May 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Ms. Phebee William, NPNPI 1093276149
Title
Administrator
Phone
(661) 974-2456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1 Blue Hill PLZ Lbby Level
Pearl River, NY 10965-3111

Mailing address

1853 Pearland Pkwy Ste 123
Pearland, TX 77581-8864
Phone (888) 516-0397

Other practice location 1

10260 SW Greenburg Rd Ste 400
portland, OR 97223
Phone (888) 516-0397

Other practice location 2

473 East Carnegie Drive
suite 200
San Bernardino, CA 92408
Phone (888) 516-0397

Other practice location 3

1455 NW Leary Way
Seattle, WA 98107-5124
Phone (888) 516-0397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20211112000217 CA Part B Supplier - Clinic/Group Practice 8628467693 Receives reassigned benefits from 1 practitioner
Practice locations: Palmdale, CA
O20220909000193 NY Part B Supplier - Clinic/Group Practice 8628467693 Receives reassigned benefits from 1 practitioner
Practice locations: New Paltz, NY
O20250422002540 OR Part B Supplier - Clinic/Group Practice 8628467693 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

38345 30th St E
Ste E4
Palmdale, CA 93550
Phone (888) 516-0397

1 Blue Hill Plz
Lbby
Pearl River, NY 10965
Phone (347) 420-8459

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1932721859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 PEARLAND PKWY STE 123",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775818864",
            "telephone_number": "888-516-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLUE HILL PLZ LBBY LEVEL",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109653111",
            "telephone_number": "888-516-0397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10260 SW Greenburg Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "portland",
            "state": "OR",
            "postal_code": "97223",
            "country_code": "US",
            "telephone_number": "888-516-0397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "473 East Carnegie Drive",
            "address_2": "suite 200",
            "address_purpose": "LOCATION",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92408",
            "country_code": "US",
            "telephone_number": "888-516-0397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 NW Leary Way",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981075124",
            "country_code": "US",
            "telephone_number": "888-516-0397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "P WILLIAM PSYCHIATRIC NURSE PRACTITIONER SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAM",
        "authorized_official_first_name": "PHEBEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-974-2456",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.