Michael D. Williams, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

7469 Issued in MA

Practice address

174 Dean St
Unit D
Taunton, MA 02780-2782

Phone

(508) 212-5730

Fax

(508) 337-9338

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Michael D. Williams, PC

  • Psychologist
  • Taunton, MA
  • NPI 1881830206
  Medicare reassignment NPD Authorized official
• Daniel Hooberman, MD, LLC

  • Psychiatry Physician
  • New Bedford, MA
  • NPI 1992862700
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1043393432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SANDY HILL RD",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020483246",
            "telephone_number": "508-212-5730",
            "fax_number": "508-337-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 DEAN ST",
            "address_2": "UNIT D",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802782",
            "telephone_number": "508-212-5730",
            "fax_number": "508-337-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "D.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "7469",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0596281",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Willette
• Alice Randle Williams, LICSW
• Ashley Ann Williams
• Kassmin Williams
• Kerry Williams
• Patricia King Williams, MA
• Beth Williamson, MSW LCSW
• Mackenzie Marie-Brown Wilson
• Olivia Renee Wilson
• Marc P Wladis, M.D.

• Psychologist in Taunton, MA
• Providers in Taunton, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.