Active NPI
Tiffany R Williams, PHD
- Psychologist
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3695
- Practice address
- 4623 Trousdale Dr
Nashville, TN 37204-4584 - Phone
- (615) 301-8431
- NPI assigned
- Mar 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C1000126 | OH | |
| Counseling Psychologist | 103TC1900X | 07908 | OH | |
| Counseling Psychologist | 103TC1900X | 20043806A | IN | |
| Psychologist | 103T00000X | 3695 | TN | Primary |
Addresses
Primary practice location
4623 Trousdale Dr
Nashville, TN 37204-4584
Mailing address
4623 Trousdale Dr
Nashville, TN 37204-4584
Phone (615) 301-8431
Other practice location 1
355 W 16th St Ste 2800
Indianapolis, IN 46202-2279
Phone (317) 963-7300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | twilliams@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1000126 | OH | MD | Professional Counselor |
| 20043806A | IN | MD | Counseling Psychologist |
| 3695 | TN | MD | Registered Dietitian |
| 07908 | OH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Imani Behavioral Health, PLLC | Psychologist | Current | Accepting new patients |
| Compass Family Health Clinic, PLLC | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
355 W 16th St
Ste 2800
Indianapolis, IN 46202
Phone (317) 963-7300
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
933 Tracy Ln
Ste D
Clarksville, TN 37040
Phone (615) 667-6799
93 Beaumont St
Clarksville, TN 37040
Phone (931) 274-7588
406 Royal Pkwy
Nashville, TN 37214
Phone (931) 274-7588
Interoperability endpoints
- twilliams@direct.iuhealth.org
Organizations & group practices 4
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.
-
- Psychologist
- Clarksville, TN
- NPI 1992294102
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Family Medicine Physician
- Clarksville, TN
- NPI 1306496054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1376819045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4623 TROUSDALE DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372044584",
"telephone_number": "615-301-8431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4623 TROUSDALE DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372044584",
"telephone_number": "615-301-8431"
}
],
"practiceLocations": [
{
"address_1": "355 W 16th St Ste 2800",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462022279",
"country_code": "US",
"telephone_number": "317-963-7300",
"fax_number": "317-963-7325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TIFFANY",
"middle_name": "R",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C1000126",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "OH",
"license": "07908",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IN",
"license": "20043806A",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "3695",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "twilliams@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "355 W 16th St Ste 2800",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462022279",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.