Active NPI
Robin a. Williams, PH.D.,LLC
- Community/Behavioral Health Agency
- Menomonie, WI
National Provider Identifier
1083910129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 104100000X
- 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
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, CSAC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8JWS5CSVP | Medicaid | WI |
Other names 1
- Restoration by Design
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Duluth, MN
- NPI 1336173756
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.