Michael John Williams

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1057 Issued in CT

Practice address

64 Palomba Dr Ste 2
Enfield, CT 06082-3850

Phone

(959) 265-0758

NPI assigned

Dec 21, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1205308772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CHESTNUT LN",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010013512",
            "telephone_number": "860-463-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 PALOMBA DR STE 2",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823850",
            "telephone_number": "959-265-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carli Willard, APRN
• Sean Timothy Willcutts, DMD
• Alexandria Willet
• William R. Cummiskey, DDS, LLC
• Brandy R. Williams, M.S., LMFT
• Tara Williams, MSN, APRN, ANP-BC
• Windham Orthopaedics Prof Corp
• Kristen Winkle
• Kristen E Winters, DPM
• Megan Witwer, PT

• Marriage & Family Therapist in Enfield, CT
• Providers in Enfield, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.