Individual provider Active NPI

Byron Devonne Williams Jr., PSYD

  • Clinical Psychologist
  • Midlothian, VA
National Provider Identifier
1306661517
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810005118 Issued in VA
Practice address
9000 Penny Bridge Mews
Midlothian, VA 23112-6893
Phone
(757) 639-3469
NPI assigned
Nov 21, 2024
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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 0810005118 VA Primary

Addresses

Primary practice location

9000 Penny Bridge Mews
Midlothian, VA 23112-6893

Mailing address

9000 Penny Bridge Mews
Midlothian, VA 23112-6893
Phone (757) 639-3469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250414000303 VA Practitioner - Clinical Psychologist 3971027871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dominion Behavioral HealthcareGroup PAC ID 6709803570, 26 clinicians

Practice addresses (Care Compare)

2301 N Parham Rd
Suite 5
Richmond, VA 23229-3171
Phone (804) 270-1124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810005118VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Behavioral Healthcare Clinical Current Accepting new patients
Dominion Behavioral Healthcare CurrentSince Apr 1, 2025 Accepting new patients
Williams Psychological Solutions LLC CurrentSince Nov 24, 2024 Accepting new patients

Locations

2301 N Parham Rd
Ste 5
Richmond, VA 23229
Phone (804) 270-1124

Organizations & group practices 4

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": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1306661517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 PENNY BRIDGE MEWS",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126893",
            "telephone_number": "757-639-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 PENNY BRIDGE MEWS",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126893",
            "telephone_number": "757-639-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BYRON",
        "middle_name": "DEVONNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.