Individual provider Active NPI

Sarah Monique Williams, PSY D

  • Clinical Psychologist
  • Makawao, HI
National Provider Identifier
1154547628
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-1468 Issued in HI
Practice address
1135 Makawao Ave Ste 102
Makawao, HI 96768-7401
Phone
(773) 919-6009
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 07100669 IL
Clinical Psychologist 103TC0700X PSY-1468 HI Primary

Addresses

Primary practice location

1135 Makawao Ave Ste 102
Makawao, HI 96768-7401

Mailing address

760 S Kihei Rd Apt 502
Kihei, HI 96753-7520
Phone (773) 919-6009

Other practice location 1

7 Aewa Place
Suite 11
Makawao, HI 96768
Phone (773) 919-6009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160422002077 HI Practitioner - Clinical Psychologist 6002115185 Practice locations: Kihei, HI; Makawao, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07100669ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lehualani Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1154547628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 S KIHEI RD APT 502",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537520",
            "telephone_number": "773-919-6009",
            "fax_number": "773-334-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 MAKAWAO AVE STE 102",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967687401",
            "telephone_number": "773-919-6009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Aewa Place",
            "address_2": "Suite 11",
            "address_purpose": "LOCATION",
            "city": "Makawao",
            "state": "HI",
            "postal_code": "96768",
            "country_code": "US",
            "telephone_number": "773-919-6009",
            "fax_number": "773-334-6674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SARAH",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "07100669",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Makawao, HI

Sources for this page

Verify at the official NPI Registry.