NPIMap

Organization Active NPI

Caroline B Williams PHD PC

  • Prescribing (Medical) Psychologist
  • Boerne, TX
National Provider Identifier
1356316814
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
20 Issued in NM
Legal business name
CAROLINE B WILLIAMS PHD PC
Practice address
112 Escalera Cir
Boerne, TX 78006-2963
Phone
(830) 347-4027
Fax
(505) 570-4560
NPI assigned
Feb 20, 2006
Last updated
Sep 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Dr. Caroline B Williams, PH.D.NPI 1013191279
Title
President
Phone
(505) 819-0859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 911 NM
Prescribing (Medical) Psychologist 103TP0016X 20 NM Primary

Addresses

Primary practice location

112 Escalera Cir
Boerne, TX 78006-2963

Mailing address

112 Escalera Cir
Boerne, TX 78006-2963
Phone (830) 347-4027

Other identifiers 1

IdentifierTypeStateIssuer
21975264MedicaidNM

National Provider Directory

National Provider Directory

Locations

301 Perkins Dr
Ste C
Las Cruces, NM 88005
Phone (575) 523-7243

5848 Acacia Cir
Ste B300
El Paso, TX 79912
Phone (915) 562-5050

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1356316814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ESCALERA CIR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062963",
            "telephone_number": "830-347-4027",
            "fax_number": "800-866-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ESCALERA CIR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062963",
            "telephone_number": "830-347-4027",
            "fax_number": "505-570-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE B WILLIAMS PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-819-0859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "911",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21975264",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.