Active NPI
Cheryl Anderson Williams, PH.D.
- Psychologist
- Marietta, GA
National Provider Identifier
1023134244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 002539
- Practice address
- 2625 Sandy Plains Rd
Suite 104
Marietta, GA 30066-4260 - Phone
- (770) 509-3711
- Fax
- (770) 509-3799
- NPI assigned
- Mar 21, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 002539 | GA | Primary |
Addresses
Primary practice location
2625 Sandy Plains Rd
Suite 104
Marietta, GA 30066-4260
Mailing address
2625 Sandy Plains Rd
Suite 104
Marietta, GA 30066-4260
Phone (770) 509-3711
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 |
|---|---|---|---|
| 002539 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1023134244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 SANDY PLAINS RD",
"address_2": "SUITE 104",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300664260",
"telephone_number": "770-509-3711",
"fax_number": "770-509-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 SANDY PLAINS RD",
"address_2": "SUITE 104",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300664260",
"telephone_number": "770-509-3711",
"fax_number": "770-509-3799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CHERYL",
"middle_name": "ANDERSON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "002539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.