Carlos Williams

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

Practice address

4696 W Overland Rd Ste 252
Boise, ID 83705-2877

Phone

(208) 724-7947

NPI assigned

Sep 18, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• A Better Choice Health Solutions, Inc.

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1417338955
  NPD (past) Authorized official

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1124454509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4696 W OVERLAND RD STE 252",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052877",
            "telephone_number": "208-724-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4696 W OVERLAND RD STE 252",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052877",
            "telephone_number": "208-724-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-18",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Williams, LCSW
• Amanda Clare Williams, MD
• Angela Williams
• Barry Lynn Williams
• Brian Caleb Williams, CRNA DNP
• Cheryl Lynn Williams, LPN
• Courtney Williams
• David Andrew Williams, M.D.
• Eve Williams, RN
• Howard L Williams, RPH

• Rehabilitation Psychologist in Boise, ID
• Providers in Boise, ID by specialty
• Rehabilitation Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.