Connie Williams, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY4032 Issued in FL

Practice address

1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875

Phone

(954) 885-9500

Fax

(954) 885-9444

NPI assigned

Oct 12, 2006

Last updated

Aug 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Connie Cobiella Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

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  • NPI 1861227993
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• Transformative Healthcare Solutions Gold Coast LLC

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  • NPI 1720814536
  Medicare reassignment NPD
• Transformative Healthcare Solutions North LLC

  • Clinical Psychologist
  • Jacksonville, FL
  • NPI 1205661337
  Medicare reassignment NPD
• Transformative Healthcare Solutions South LLC

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1265265193
  Medicare reassignment NPD
• Transformative Healthcare Solutions West LLC

  • Clinical Psychologist
  • Tampa, FL
  • NPI 1700610508
  Medicare reassignment NPD
• Cobiella Center for Change, Inc.

  • Clinical Psychologist
  • Jensen Beach, FL
  • NPI 1013199082
  NPD
• Transformative Healthcare Solutions Inc

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1477114031
  NPD
• Pro Performance Physical Therapy LLC

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1215598529
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1285723668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 SE 1ST AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162875",
            "telephone_number": "954-885-9500",
            "fax_number": "954-885-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 SE 1ST AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162875",
            "telephone_number": "954-885-9500",
            "fax_number": "954-885-9444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3395 NW Federal Highway",
            "address_purpose": "LOCATION",
            "city": "Jensen Beach",
            "state": "FL",
            "postal_code": "349574456",
            "country_code": "US",
            "telephone_number": "772-261-0559",
            "fax_number": "772-225-1226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CONNIE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PY0004032",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY4032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "COBIELLA",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian A. Williams, PHARM D.
• Cassie Williams
• Charday D Williams, MH22525
• Cherise Williams, APRN
• Colby Brandon Williams
• Elaina Williams, BCBA
• Elaine J Williams, PHYSICAL THERAPY ASS
• Francois Williams
• Frederick L. Williams, M.D.
• Herbert H Williams, LMHC

• Counseling Psychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.