MEDICARE: DR. WILLIAM HALSTED JAMES PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	012478-1 NY	NY

General Provider Information

NPI Number	:	1346364163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM HALSTED JAMES PH.D.

Provider Business Mailing Address
First Line	:	1512 WANTAGH AVE
Second Line	:
City	:	WANTAGH
State	:	NY
Zip	:	11793
Country	:	US
Telephone Number	:	516-785-0323
Fax Number	:	516-785-6026

Provider Business Practice Location Address
First Line	:	3305 JERUSALEM AVE STE 207
Second Line	:
City	:	WANTAGH
State	:	NY
Zip	:	11793-2028
Country	:	US
Telephone Number	:	516-785-0323
Fax Number	:	516-785-6026

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	08/30/2024

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