Individual provider Active NPI

Nicholas Williams, PH.D.

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1154718872
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017831 Issued in PA
Practice address
1824 Murray Ave Ste 303
Pittsburgh, PA 15217-1655
Phone
(412) 423-5352
NPI assigned
Apr 21, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS017831 PA Primary

Addresses

Primary practice location

1824 Murray Ave Ste 303
Pittsburgh, PA 15217-1655

Mailing address

3738 Perrysville Ave
Pittsburgh, PA 15214-2001
Phone (412) 708-3029

Other practice location 1

3738 Perrysville Ave
Pittsburgh, PA 15214-2001
Phone (412) 708-3029

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS017831PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Avenue Psychotherapy LLC Current Accepting new patients

Locations

818 Cedar Ave
Pittsburgh, PA 15212
Phone (412) 321-3444

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": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1154718872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3738 PERRYSVILLE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152142001",
            "telephone_number": "412-708-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 MURRAY AVE STE 303",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171655",
            "telephone_number": "412-423-5352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3738 Perrysville Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152142001",
            "country_code": "US",
            "telephone_number": "412-708-3029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NICHOLAS",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.