Individual provider Active NPI

Tiffany R Williams, PHD

  • Psychologist
  • Nashville, TN
National Provider Identifier
1376819045
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3695 Issued in TN
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

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address twilliams@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210730000467 TN Practitioner - Clinical Psychologist 6002219813 Reassigns benefits to 1 organization
I20240620001357 IN Practitioner - Psychologist Billing Independently 6002219813 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1000126OHMDProfessional Counselor
20043806AINMDCounseling Psychologist
3695TNMDRegistered Dietitian
07908OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Aug 1, 2024 Accepting new patients
Imani Behavioral Health, PLLC Psychologist CurrentSince May 1, 2021 Accepting new patients
Compass Family Health Clinic, PLLC PastSince May 2, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.