Organization Active NPI

William C. Horton, Psy.D., PC

  • Specialist
  • Birmingham, MI
National Provider Identifier
1992820450
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6301006621 Issued in MI
Legal business name
WILLIAM C. HORTON, PSY.D., PC
Practice address
380 N Old Woodward Ave
Ste. 156
Birmingham, MI 48009-5347
Phone
(248) 377-9428
Fax
(248) 594-7663
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Authorized official

Name
William Charles Horton, PSY.D.NPI 1205965993
Title
Psychologist
Phone
(248) 377-9428

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 6301006621 MI Primary

Addresses

Primary practice location

380 N Old Woodward Ave
Ste. 156
Birmingham, MI 48009-5347

Mailing address

380 N Old Woodward Ave
Ste. 156
Birmingham, MI 48009-5347
Phone (248) 377-9428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070326000334 MI Part B Supplier - Clinic/Group Practice 8022112390 Receives reassigned benefits from 1 practitioner
Practice locations: Ferndale, MI

National Provider Directory

National Provider Directory

Locations

372 Hilton Rd
Ferndale, MI 48220
Phone (248) 377-9428

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1992820450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 N OLD WOODWARD AVE",
            "address_2": "STE. 156",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480095347",
            "telephone_number": "248-377-9428",
            "fax_number": "248-594-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N OLD WOODWARD AVE",
            "address_2": "STE. 156",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480095347",
            "telephone_number": "248-377-9428",
            "fax_number": "248-594-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C. HORTON, PSY.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-377-9428",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "6301006621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.