Gregory Lynn Williams, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00002410 Issued in WA

Practice address

2118 Caton Way SW
Olympia, WA 98502

Phone

(360) 754-4662

Fax

(369) 352-3289

NPI assigned

Sep 27, 2006

Last updated

Oct 31, 2008By 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gregory L. Williams, Psy.D., PC

  • Clinical Psychologist
  • Olympia, WA
  • NPI 1730369877
  NPD (past) Authorized official
• Evergreen Psychological Associates, PLLC

  • Counselor
  • Chehalis, WA
  • NPI 1023050770
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1326139361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 CATON WAY SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-754-4662",
            "fax_number": "369-352-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 CATON WAY SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-754-4662",
            "fax_number": "369-352-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GREGORY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0178084",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE RIDER",
            "identifier": "1026WI",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7119985",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Williams
• April Denyse Williams
• Brittnie Williams
• Caroline E Williams, RN
• Dayzsa R Williams
• Heather Kay Williams, PHARM D.
• Heather Marie Williams, OD
• Heidi Williams, MA, LMHC, NCC
• Janelisa Williams, PA-C
• Janet Lee Williams, MSW

• Clinical Psychologist in Olympia, WA
• Providers in Olympia, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.