Active NPI
Arthur Darrell Williams
- Clinical Neuropsychologist
- San Diego, CA
National Provider Identifier
1306984695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY6047
- Practice address
- 7770 Regents Rd # 113-559
San Diego, CA 92122-1937 - Phone
- (858) 458-5909
- Fax
- (858) 458-5910
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 2327 | WA | |
| Clinical Neuropsychologist | 103G00000X | PSY6047 | CA | Primary |
Addresses
Primary practice location
7770 Regents Rd # 113-559
San Diego, CA 92122-1937
Mailing address
7770 Regents Rd # 113-559
San Diego, CA 92122-1937
Phone (858) 458-5909
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY6047 | CA | MD | Clinical Neuropsychologist |
| 2327 | WA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477008000000",
"number": "1306984695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7770 REGENTS RD # 113-559",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921221937",
"telephone_number": "858-458-5909",
"fax_number": "858-458-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7770 REGENTS RD # 113-559",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921221937",
"telephone_number": "858-458-5909",
"fax_number": "858-458-5910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ARTHUR",
"middle_name": "DARRELL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2016-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "WA",
"license": "2327",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY6047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.