Charles Donald Williams, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

14099 Issued in WA

Practice address

402 E. Yakima Ave., Ste. 1080
Yakima, WA 98901-2755

Phone

(509) 457-4611

Fax

(509) 454-3295

NPI assigned

Jul 3, 2013

Last updated

Jul 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Apr 5, 2016 through Apr 5, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C Donald Williams MD PS

  • Psychiatry Physician
  • Yakima, WA
  • NPI 1770668774
  Authorized official Same address or phone

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1235579368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E. YAKIMA AVE., STE. 1080",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989012755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E. YAKIMA AVE., STE. 1080",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989012755",
            "telephone_number": "509-457-4611",
            "fax_number": "509-454-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHARLES",
        "middle_name": "DONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "14099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willamette Dental Group
• Willamette Dental Group, P.C.
• William W. Robinson
• Sarah Leslie William, LMHC
• Janet M Williams-Cox, ARNP
• Chelby Williams, APRN
• De-Ann R Williams, M.D.
• Harry Williams, RPH
• Jennifer Williams
• Marizol Williams

• Psychiatry Physician in Yakima, WA
• Providers in Yakima, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.