Individual provider Active NPI

Nancy Giselle Davila Williams, PSY D.

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1295976991
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3326 Issued in PR
Practice address
1805 Paseo la Colonia
Codech Office Park Urb. Constancia
Ponce, PR 00717-2253
Phone
(787) 651-3720
NPI assigned
Mar 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3326 PR Primary

Addresses

Primary practice location

1805 Paseo la Colonia
Codech Office Park Urb. Constancia
Ponce, PR 00717-2253

Mailing address

PO Box 7878
Ponce, PR 00732-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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

Enrollment IDStateProvider typePAC IDDetails
I20100611000230 PR Practitioner - Clinical Psychologist 6901936327 Practice locations: Ponce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1295976991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7878",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 PASEO LA COLONIA",
            "address_2": "CODECH OFFICE PARK URB. CONSTANCIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172253",
            "telephone_number": "787-651-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA WILLIAMS",
        "first_name": "NANCY",
        "middle_name": "GISELLE",
        "name_prefix": "Dr.",
        "credential": "PSY D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

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Verify at the official NPI Registry.