Individual provider Active NPI

Rojelle Lorraine Marie Williams, MD

  • Psychiatry Physician
  • Enola, PA
National Provider Identifier
1164079323
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD479193 Issued in PA
Practice address
1324 Chestnut Ave
Enola, PA 17025-1580
Phone
(772) 204-1552
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brookville Behavioral Health Inc 3 clinicians

Practice addresses (Care Compare)

28 E 3Rd St
Core Psychiatric and Psychological Services
Emporium, PA 15834-1406
Phone (814) 486-0217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250917000243 PA Practitioner - Psychiatry 7618209347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD479193PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Behavioral Health Inc. Multi-Specialty CurrentSince Jun 22, 2025 Accepting new patients

Locations

1324 Chestnut Ave
Dubois, PA 15801

28 E 3rd St
#P
Emporium, PA 15834
Phone (814) 486-0217

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X MD479193 PA
Psychiatry Physician 2084P0800X MD479193 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1324 Chestnut Ave
Enola, PA 17025-1580

Mailing address

1324 Chestnut Ave
Enola, PA 17025
Phone (772) 204-1552

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2025.

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1164079323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 CHESTNUT AVE",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "17025",
            "telephone_number": "772-204-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 CHESTNUT AVE",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251580",
            "telephone_number": "772-204-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROJELLE",
        "middle_name": "LORRAINE MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD479193",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD479193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enola, PA

Sources for this page

Verify at the official NPI Registry.