Disabilities Liberated LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DISABILITIES LIBERATED LLC

Practice address

128 Marshall St
Yellow Springs, OH 45387-1618

Phone

(937) 266-9375

NPI assigned

Feb 14, 2024

Organization subpart

No

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

Authorized official

Name

Julie Lynn Williams, PSY.D.NPI 1518925189

Title

Psychologist/Owner

Phone

(937) 266-9375

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie L Williams, PSYD

  • Clinical Psychologist
  • Dayton, OH
  • NPI 1518925189
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1003671561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MARSHALL ST",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871618",
            "telephone_number": "937-266-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MARSHALL ST",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871618",
            "telephone_number": "937-266-9375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3640 Colonel Glenn Hwy",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454350001",
            "country_code": "US",
            "telephone_number": "937-266-9375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DISABILITIES LIBERATED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "937-266-9375",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Michael Davis-Cheshire
• David J Day, LPN
• Deanna Markesteyn Counseling
• Sharon Dibiase, SWT
• Ellen Dillon, OTR/L
• Jennifer Lee Driver, MS/LPCC
• Mark G Duckwall, D.C.
• Cara Dues, COTA/L
• Edge Medical Services
• Leslie Clem Edmunds, MPH, RD, LD

• Clinical Psychologist in Yellow Springs, OH
• Providers in Yellow Springs, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.