Michael E Williams, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2015016400 Issued in MO

Practice address

4045 NE Lakewood Way Ste 130
Lees Summit, MO 64064

Phone

(816) 886-2184

Fax

(816) 886-2397

NPI assigned

Jan 27, 2006

Last updated

Jun 6, 2018By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

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.

Enrollment records 2

Specialty

Psychiatry

Education

University of Missouri, Columbia School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

M a Mirza LLCGroup PAC ID 4284865056, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: whiteoakpsychiatricservices.michaelwilliams@133176.advancedmd-direct.com

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.

• M a Mirza, LLC

  dba White Oak Psychiatric Services

  • Prescribing (Medical) Psychologist
  • Lee's Summit, MO
  • NPI 1376757617
  Medicare reassignment Care Compare group
• Ford 4F, LLC

  dba Cerebral Spa

  • Clinic/Center
  • Overland Park, KS
  • NPI 1346019189
  Medicare reassignment NPD
• Cerebral Unlimited LLC

  dba Cerebral Spa

  • Clinic/Center
  • Overland Park, KS
  • NPI 1336939693
  NPD
• Renu Brain Treatment Center, LLC

  • Psychiatry Physician
  • Kansas City, MO
  • NPI 1487229530
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1295706430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 NE LAKEWOOD WAY STE 130",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641995",
            "telephone_number": "816-886-2184",
            "fax_number": "816-886-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 NE LAKEWOOD WAY STE 130",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64064",
            "telephone_number": "816-886-2184",
            "fax_number": "816-886-2397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 John Paul Jones Cir",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237082111",
            "country_code": "US",
            "telephone_number": "757-314-6314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2015016400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295706430",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Lynn Williams, MD
• Douglas Wayne Williams, DPH
• James M Williams, DDS
• Jasmine Williams
• Leslie K Williams, FNP
• Sharon L Williams
• Tara C. Williams, BCBA
• Zachary Thomas Williams, D.D.S., M.C.L.D.
• Emily Ann Williamson, LMSW
• Katie Willis, LCSW

• Psychiatry Physician in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.