Individual provider Active NPI

Miya Williams, PSY.D.

  • Clinical Psychologist
  • Annapolis, MD
National Provider Identifier
1083269906
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
A0420 Issued in MD
Practice address
1997 Annapolis Exchange Pkwy Ste 300
Annapolis, MD 21401-3273
Phone
(410) 635-1184
Fax
(410) 630-8087
NPI assigned
Aug 7, 2019
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X A0420 MD Primary

Addresses

Primary practice location

1997 Annapolis Exchange Pkwy Ste 300
Annapolis, MD 21401-3273

Mailing address

1997 Annapolis Exchange Pkwy Ste 300
Annapolis, MD 21401-3273
Phone (410) 635-1184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5024 Campbell Blvd
Suite H
Baltimore, MD 21236-5974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A0420MDMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1083269906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 ANNAPOLIS EXCHANGE PKWY STE 300",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013273",
            "telephone_number": "410-635-1184",
            "fax_number": "410-630-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 ANNAPOLIS EXCHANGE PKWY STE 300",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013273",
            "telephone_number": "410-635-1184",
            "fax_number": "410-630-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MIYA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "A0420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.