Organization Active NPI

Robin a. Williams, PH.D.,LLC

  • Community/Behavioral Health Agency
  • Menomonie, WI
National Provider Identifier
1083910129
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
104100000X Issued in WI
Legal business name
ROBIN A. WILLIAMS, PH.D.,LLC
Practice address
1421 Broadway St N
Suite 112B
Menomonie, WI 54751-4728
Phone
(715) 235-5557
Fax
(715) 235-5559
NPI assigned
Feb 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Dr. Robin Allen Williams, PH.D., LCSW, CSACNPI 1336173756
Title
Licensed Psychotherapist/Owner
Phone
(715) 235-5557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 104100000X WI Primary

Addresses

Primary practice location

1421 Broadway St N
Suite 112B
Menomonie, WI 54751-4728

Mailing address

1421 Broadway St N
Suite 112B
Menomonie, WI 54751-4728
Phone (715) 235-5557

Other identifiers 1

IdentifierTypeStateIssuer
8JWS5CSVPMedicaidWI

Other names 1

  • Restoration by Design Doing business as

National Provider Directory

National Provider Directory

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": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1083910129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 BROADWAY ST N",
            "address_2": "SUITE 112B",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547514728",
            "telephone_number": "715-235-5557",
            "fax_number": "715-235-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 BROADWAY ST N",
            "address_2": "SUITE 112B",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547514728",
            "telephone_number": "715-235-5557",
            "fax_number": "715-235-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN A. WILLIAMS, PH.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "LICENSED PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "715-235-5557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LCSW, CSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "104100000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8JWS5CSVP",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoration by Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menomonie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.