Individual provider Active NPI

Ashley A Williams, PH.D.

  • Psychologist
  • Colorado Springs, CO
National Provider Identifier
1336416114
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY0003080 Issued in CO
Practice address
4760 Flintridge Dr Ste 125
Colorado Springs, CO 80918-4267
Phone
(719) 231-9609
Fax
(719) 570-0386
NPI assigned
Nov 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY0003080 CO Primary

Addresses

Primary practice location

4760 Flintridge Dr Ste 125
Colorado Springs, CO 80918-4267

Mailing address

4760 Flintridge Dr Ste 125
Colorado Springs, CO 80918-4267
Phone (719) 231-9609

Other practice location 1

1115 Elkton Dr 300
Colorado Springs, CO 80907-3597
Phone (719) 231-9609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160112001203 CO Practitioner - Clinical Psychologist 2668780859 Practice locations: Colorado Springs, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4760 Flintridge Dr
Suite 125
Colorado Springs, CO 80918-4267
Phone (719) 231-9609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY0003080COMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336416114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 FLINTRIDGE DR STE 125",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184267",
            "telephone_number": "719-231-9609",
            "fax_number": "719-570-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 FLINTRIDGE DR STE 125",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184267",
            "telephone_number": "719-231-9609",
            "fax_number": "719-570-0386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 ELKTON DR 300",
            "address_purpose": "LOCATION",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073597",
            "country_code": "US",
            "telephone_number": "719-231-9609",
            "fax_number": "719-570-0386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ASHLEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY0003080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.