Active NPI
Sarah Monique Williams, PSY D
- Clinical Psychologist
- Makawao, HI
National Provider Identifier
1154547628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-1468
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160422002077 | HI | Practitioner - Clinical Psychologist | 6002115185 | Practice locations: Kihei, HI; Makawao, HI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07100669 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Health Service Psychologist
- Makawao, HI
- NPI 1013447945
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.