Individual provider Active NPI

Barbara Lynn Morrison Williams, PSY.D., PMHNP-BC

  • Clinical Psychologist
  • Vero Beach, FL
National Provider Identifier
1275783193
Registry record updated Oct 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7808 Issued in FL
Practice address
725 Flamevine LN
Vero Beach, FL 32963-1902
Phone
(772) 234-4511
NPI assigned
Sep 28, 2008
Last updated
Oct 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 714562 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 60459418 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP5491 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G141742 IA
Clinical Psychologist 103TC0700X PY7808 FL Primary
Health Psychologist 103TH0004X PY7808 FL

Addresses

Primary practice location

725 Flamevine LN
Vero Beach, FL 32963-1902

Mailing address

725 Flamevine LN
Vero Beach, FL 32963-1902
Phone (772) 766-9676

Other practice location 1

2770 Indian River Blvd Ste 318
Vero Beach, FL 32960-4297
Phone (772) 766-9676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
714562FLMDPsychiatric/Mental Health Nurse Practitioner
60459418WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Lynn Williams Clinical PastSince Oct 17, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633824000000",
    "number": "1275783193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 FLAMEVINE LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631902",
            "telephone_number": "772-766-9676",
            "fax_number": "772-231-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 FLAMEVINE LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631902",
            "telephone_number": "772-234-4511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2770 Indian River Blvd Ste 318",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329604297",
            "country_code": "US",
            "telephone_number": "772-766-9676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BARBARA LYNN",
        "middle_name": "MORRISON",
        "name_prefix": "Dr.",
        "credential": "PSY.D., PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-28",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "714562",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "60459418",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP5491",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G141742",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7808",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "FL",
            "license": "PY7808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; 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.