Active NPI
Benjamin D. Williams, PH.D.
- Clinical Psychologist
- Ashburn, VA
National Provider Identifier
1336401967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810004972
- Practice address
- 44095 Pipeline PLZ Ste 240
Ashburn, VA 20147-7515 - Phone
- (703) 723-2999
- Fax
- (703) 723-4144
- NPI assigned
- Jun 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810004972 | VA | Primary |
Addresses
Primary practice location
44095 Pipeline PLZ Ste 240
Ashburn, VA 20147-7515
Mailing address
44095 Pipeline PLZ Ste 240
Ashburn, VA 20147-7515
Phone (703) 723-2999
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@ashburnpsych.com | Direct | Ashburn Psychological and Psychiatric Services |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Dec 13, 2014 through Dec 13, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810004972 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1336401967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44095 PIPELINE PLZ STE 240",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201477515",
"telephone_number": "703-723-2999",
"fax_number": "703-723-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44095 PIPELINE PLZ STE 240",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201477515",
"telephone_number": "703-723-2999",
"fax_number": "703-723-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BENJAMIN",
"middle_name": "D.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-11",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004972",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@ashburnpsych.com",
"affiliation": "Y",
"affiliationName": "Ashburn Psychological and Psychiatric Services",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "44095 Pipeline Plz Ste 240",
"city": "Ashburn",
"state": "VA",
"country_code": "US",
"postal_code": "201477515",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.