Active NPI
Christine Judith Williams, MS,LLP
- Counseling Psychologist
- Plymouth, MI
National Provider Identifier
1215104203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6301010868
- Practice address
- 199 N Main St
Suite 202
Plymouth, MI 48170-1272 - Phone
- (734) 254-9380
- Fax
- (734) 254-8795
- NPI assigned
- May 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6301010868 | MI | Primary |
Addresses
Primary practice location
199 N Main St
Suite 202
Plymouth, MI 48170-1272
Mailing address
190 N Main St
Ste D
Plymouth, MI 48170-1236
Phone (734) 254-9380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Master of Science - Law
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victor M. Cruz MD, P.C. | Current | Accepting new patients |
Locations
17177 Laurel Dr
Ste 131
Livonia, MI 48152
Phone (313) 462-3210
17177 N Laurel Park Dr
Ste 131
Livonia, MI 48152
Phone (734) 462-3210
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": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1215104203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 N MAIN ST",
"address_2": "STE D",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701236",
"telephone_number": "734-254-9380",
"fax_number": "734-254-8795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 N MAIN ST",
"address_2": "SUITE 202",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701272",
"telephone_number": "734-254-9380",
"fax_number": "734-254-8795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CHRISTINE",
"middle_name": "JUDITH",
"name_prefix": "Mrs.",
"credential": "MS,LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301010868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.