Organization Active NPI

Daniel E Williams PHD PA

  • Adult Mental Health Clinic/Center
  • East Orange, NJ
National Provider Identifier
1013153808
Registry record updated Dec 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
897 Issued in NJ
Legal business name
DANIEL E WILLIAMS PHD PA
Practice address
185 Central Ave Ste 615
East Orange, NJ 07018-3319
Phone
(973) 675-9200
Fax
(973) 678-8432
NPI assigned
Dec 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2008

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

Authorized official

Name
Dr. Daniel Edwin Williams, PHD
Title
Clinical Psychologist
Phone
(973) 675-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 897 NJ Primary

Addresses

Primary practice location

185 Central Ave Ste 615
East Orange, NJ 07018-3319

Mailing address

185 Central Ave Ste 615
East Orange, NJ 07018-3319
Phone (973) 675-9200

Other identifiers 1

IdentifierTypeStateIssuer
0492400MedicaidNJ

National Provider Directory

National Provider Directory

Locations

185 Central Ave
Ste 615
East Orange, NJ 07018
Phone (973) 675-9200

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": "1230422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230422400000",
    "number": "1013153808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CENTRAL AVE STE 615",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183319",
            "telephone_number": "973-675-9200",
            "fax_number": "973-678-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CENTRAL AVE STE 615",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183319",
            "telephone_number": "973-675-9200",
            "fax_number": "973-678-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL E WILLIAMS PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-28",
        "last_updated": "2008-12-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "973-675-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0492400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.