Active NPI
Robert S McWilliam MD LLC
- Psychiatry Physician
- Woodbury, CT
National Provider Identifier
1215486261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 022885
- Legal business name
- ROBERT S MCWILLIAM MD LLC
- Practice address
- 4 S Pomperaug Ave
Woodbury, CT 06798-3709 - Phone
- (203) 266-0404
- Fax
- (203) 263-0511
- NPI assigned
- Sep 30, 2016
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Robert S McWilliam, MD
- Title
- Owner
- Phone
- (203) 266-0404
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- North Haven, CT
- NPI 1801992417
-
- Cardiovascular Disease Physician
- Middlebury, CT
- NPI 1457419814
-
- Cardiovascular Disease Physician
- Waterbury, CT
- NPI 1255499653
-
- Cardiovascular Disease Physician
- Middlebury, CT
- NPI 1245398619
-
- Family Medicine Physician
- Woodbury, CT
- NPI 1104905462
-
- Clinical Social Worker
- Middlebury, CT
- NPI 1295832194
-
- Cardiovascular Disease Physician
- Simsbury, CT
- NPI 1689810491
-
- Interventional Cardiology Physician
- Westport, CT
- NPI 1033295134
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1508883398
-
- Interventional Cardiology Physician
- Danbury, CT
- NPI 1588869424
-
- Cardiovascular Disease Physician
- Pensacola, FL
- NPI 1851459390
-
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1780780031
Psychiatry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161215000257 | CT | Part B Supplier - Clinic/Group Practice | 6800176553 |
Receives reassigned benefits from 1 practitioner Practice locations: Woodbury, CT |
National Provider Directory
National Provider DirectoryLocations
4 S Pomperaug Ave
Woodbury, CT 06798
Phone (203) 263-2020
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 022885 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4 S Pomperaug Ave
Woodbury, CT 06798-3709
Mailing address
4 S Pomperaug Ave
Woodbury, CT 06798-3709
Phone (203) 266-0404
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001228857 | Medicaid | CT |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2016.
{
"created_epoch": "1475193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475193600000",
"number": "1215486261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 S POMPERAUG AVE",
"city": "WOODBURY",
"state": "CT",
"postal_code": "067983709",
"telephone_number": "203-266-0404",
"fax_number": "203-263-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 S POMPERAUG AVE",
"city": "WOODBURY",
"state": "CT",
"postal_code": "067983709",
"telephone_number": "203-266-0404",
"fax_number": "203-263-0511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT S MCWILLIAM MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-30",
"last_updated": "2016-09-30",
"status": "A",
"authorized_official_last_name": "MCWILLIAM",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-266-0404",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "022885",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001228857",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.