Active NPI
William Hixon, PSY.D.
- Psychologist
- Phoenix, AZ
National Provider Identifier
1972796209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3758
- Practice address
- 2345 W. Thomas Rd.
Suite 295
Phoenix, AZ 85016 - Phone
- (602) 810-7505
- NPI assigned
- Aug 21, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3758 | AZ | Primary |
Addresses
Primary practice location
2345 W. Thomas Rd.
Suite 295
Phoenix, AZ 85016
Mailing address
2535 W Olla Cir
Mesa, AZ 85202-7824
Phone (602) 810-7505
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3758 | AZ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1972796209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 W OLLA CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852027824",
"telephone_number": "602-810-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 W. THOMAS RD.",
"address_2": "SUITE 295",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85016",
"telephone_number": "602-810-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIXON",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-21",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "3758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.