Active NPI
Mary Ellen Williams, PH.D.
- Psychologist
- Cincinnati, OH
National Provider Identifier
1154472504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5279
- Practice address
- 9200 Montgomery Rd Ste C-11-a
Cincinnati, OH 45242-7789 - Phone
- (513) 891-1102
- NPI assigned
- Jan 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5279 | OH | Primary |
Addresses
Primary practice location
9200 Montgomery Rd Ste C-11-a
Cincinnati, OH 45242-7789
Mailing address
1565 Georgetown Rd
Loveland, OH 45140-8041
Phone (513) 575-5508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5279 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154472504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 GEORGETOWN RD",
"city": "LOVELAND",
"state": "OH",
"postal_code": "451408041",
"telephone_number": "513-575-5508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 MONTGOMERY RD STE C-11-A",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452427789",
"telephone_number": "513-891-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MARY ELLEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "5279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.