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DR. WILLIAM SOMERVILLE PHD
NPI 1891181368
Psychologist - Clinical in Ridgewood, NY

Active since April 12, 2015PECOS EnrolledAccepts Medicare Assignment
1639 CENTRE ST # 141, RIDGEWOOD, NY 11385(718) 594-2458(718) 425-9862 Get Directions Write a Review

NPPES record last updated: November 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2019, Mar 17, 2018, Oct 31, 2017 (3 updates tracked since 2017).

About Dr. William Somerville Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM SOMERVILLE PHD (NPI 1891181368) is an individual clinical provider in Ridgewood, New York, licensed in New York (022436) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1891181368
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. WILLIAM SOMERVILLECredential: PHD
Location Address1639 CENTRE ST # 141Ridgewood, NY 11385-5335
Mailing Address1639 Centre St # 141Ridgewood, NY 11385-5335 · (718) 971-9731 · Fax (718) 425-9862
Phone(718) 594-2458
Fax(718) 425-9862
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 12, 2015
Last NPPES UpdateNovember 17, 20193 updates tracked since enumeration
✔ NPI 1891181368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 022436
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1639 CENTRE ST # 141, Ridgewood, NY 11385
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Secondary Practice Location 1

Location 11650 Bedford Ave Rm B-1005Brooklyn, NY 11225-2010 · Phone (718) 270-4980

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. William Somerville Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567723489
PECOS Enrollment IDI20180312000023
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11385 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$201.98 typical visit price
range $67.00 – $201.98
Typical copayment $50.49 (range $16.75 – $50.49)
Most-billed visit code 99205
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIET SPIER ANDERSON
Social Worker
1639 CENTRE ST # 141
RIDGEWOOD, NY 11385
Queens County (718) 594-2458

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Somerville's NPI number?

The NPI number for William Somerville is 1891181368. It was assigned to this individual provider in the NPPES registry on April 12, 2015.

Where is William Somerville located?

William Somerville practices at 1639 Centre St # 141, Ridgewood, NY 11385. The listed phone number is (718) 594-2458.

What is William Somerville's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is William Somerville enrolled in Medicare?

Yes. William Somerville is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for William Somerville was last updated on November 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.