John Eustis Williams, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

00960 Issued in IA

Practice address

1310 Solar Dr
Waterloo, IA 50701-2463

Phone

(319) 232-2086

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Clinical Health Psychologists, PLC

  • Clinical Psychologist
  • Cedar Falls, IA
  • NPI 1427002641
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1346277829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SOLAR DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507012463",
            "telephone_number": "319-232-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SOLAR DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507012463",
            "telephone_number": "319-232-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOHN",
        "middle_name": "EUSTIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "00960",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "IA",
            "license": "000498",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0401063",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey David Wilkins, D.O.
• Krista Ann Willenbring, AUD
• William C. Bolick D.DS L.L.C.
• Chad M Williams, P.T.
• Charlotte Ann Williams, RPH
• Jacqueline Willms, PHARM.D.
• Paul Richard Willy, DENTIST DDS
• Wilson Family Chiropractic Center Inc.
• Angela Wilson-Anderson, LMSW
• Dexter E. Wilson, OD

• Clinical Psychologist in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Clinical Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.