Active NPI
R Jane Williams, PHD
- Psychologist
- Bethelehem, PA
National Provider Identifier
1003814930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS-008219-L
- Practice address
- 105 Bahnson Hall (MTS)
1200 Main St.
Bethelehem, PA 18018-6614 - Phone
- (484) 226-5073
- NPI assigned
- Jul 13, 2005
- Last updated
- Sep 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PA-008219-L | PA | |
| Psychologist | 103T00000X | PS-008219-L | PA | Primary |
Addresses
Primary practice location
105 Bahnson Hall (MTS)
1200 Main St.
Bethelehem, PA 18018-6614
Mailing address
1670 Lindberg St
Bethlehem, PA 18020-6452
Phone (484) 226-5073
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-008219-L | PA | MD | Psychologist |
| PA-008219-L | PA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473465600000",
"number": "1003814930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 LINDBERG ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180206452",
"telephone_number": "484-226-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 BAHNSON HALL (MTS)",
"address_2": "1200 MAIN ST.",
"city": "BETHELEHEM",
"state": "PA",
"postal_code": "180186614",
"telephone_number": "484-226-5073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "R",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2016-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PA-008219-L",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS-008219-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.