Active NPI
William Walter Arnett Jr., PSY.D.
- Clinical Psychologist
- Provo, UT
National Provider Identifier
1962565036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 12847003-2501
- Practice address
- 365 W 400 S
Provo, UT 84601-4346 - Phone
- (801) 634-3500
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3490 | AZ | |
| Clinical Psychologist | 103TC0700X | 12847003-2501 | UT | Primary |
Addresses
Primary practice location
365 W 400 S
Provo, UT 84601-4346
Mailing address
365 W 400 S
Provo, UT 84601-4346
Phone (801) 634-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 492869 | Medicaid | AZ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12847003-2501 | UT | MD | Clinical Psychologist |
| 3490 | AZ | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1962565036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 W 400 S",
"city": "PROVO",
"state": "UT",
"postal_code": "846014346",
"telephone_number": "801-634-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 W 400 S",
"city": "PROVO",
"state": "UT",
"postal_code": "846014346",
"telephone_number": "801-634-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNETT",
"first_name": "WILLIAM",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "3490",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "12847003-2501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "492869",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.