Caroline B Williams, PH.D., M.P.

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

20 Issued in NM

Practice address

Brooke Army Medical Center
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Phone

(706) 304-3010

Fax

(800) 866-8791

NPI assigned

Dec 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2015 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Caroline B Williams PHD PC

  • Prescribing (Medical) Psychologist
  • Boerne, TX
  • NPI 1356316814

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1013191279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ESCALERA CIR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062963",
            "telephone_number": "575-779-4401",
            "fax_number": "800-866-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROOKE ARMY MEDICAL CENTER",
            "address_2": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "706-304-3010",
            "fax_number": "800-866-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAROLINE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D., M.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "0911",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "00911",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14880300",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Maxine Williams, M.D.
• Angeline M Williams
• Annette Lynn Williams, M.D.
• Antoine Williams II, R.N.
• Barbara Beth Williams, LCSW
• James Frank Williams, PAC
• Justin Barrett Williams, M.D.
• Larry Williams Jr., PA-C
• Matthew Keeney Williams, DPT
• Michelle Renee Williams, M.D.

• Prescribing (Medical) Psychologist in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Prescribing (Medical) Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.