Active NPI
David John Williams, PH.D., M.P.
- Prescribing (Medical) Psychologist
- Monroe, LA
National Provider Identifier
1104953769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- MPAP.000033
- Practice address
- 1410 Royal Ave
Monroe, LA 71201-5608 - Phone
- (318) 998-3511
- Fax
- (318) 322-9492
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | MP.0953 | LA | |
| Prescribing (Medical) Psychologist | 103TP0016X | MPAP.000033 | LA | Primary |
Addresses
Primary practice location
1410 Royal Ave
Monroe, LA 71201-5608
Mailing address
1410 Royal Ave
Monroe, LA 71201-5608
Phone (318) 998-3511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1410 Royal Ave
Monroe, LA 71201-5608
Phone (318) 998-3511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MP.0953 | LA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams Consulting Inc. | Prescribing (Medical) | Current | Accepting new patients |
| Premier Hope Orthotic & Prosthetic Enterprises LLC | Past | Accepting new patients |
Locations
1209 Royal Ave
Monroe, LA 71201
Phone (318) 812-0119
1410 Royal Ave
#J
Monroe, LA 71201
Phone (318) 998-3511
1410 Royal Ave
Monroe, LA 71201
Phone (318) 322-0062
Organizations & group practices 2
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.
-
- Prescribing (Medical) Psychologist
- Monroe, LA
- NPI 1104925932
-
- Prosthetic/Orthotic Supplier
- Monroe, LA
- NPI 1013077064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405641600000",
"number": "1104953769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 ROYAL AVE",
"city": "MONROE",
"state": "LA",
"postal_code": "712015608",
"telephone_number": "318-998-3511",
"fax_number": "318-322-9492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 ROYAL AVE",
"city": "MONROE",
"state": "LA",
"postal_code": "712015608",
"telephone_number": "318-998-3511",
"fax_number": "318-322-9492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DAVID",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PH.D., M.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2014-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "MP.0953",
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "LA",
"license": "MPAP.000033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.