Individual provider Active NPI

Joy R. Williams-Moore Schilling, PH.D.

  • Psychologist
  • Colorado Springs, CO
National Provider Identifier
1386761849
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1365 Issued in CO
Practice address
2207 W Colorado Ave
Colorado Springs, CO 80904-3324
Phone
(719) 634-6737
Fax
(719) 362-4402
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1365 CO Primary

Addresses

Primary practice location

2207 W Colorado Ave
Colorado Springs, CO 80904-3324

Mailing address

1538 W Costilla St
Colorado Springs, CO 80905-4247
Phone (719) 634-6737

Other names 1

  • Dr. Joy Ruth Williamsmoore Schilling Other name

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
I20050427000908 CO Practitioner - Clinical Psychologist 9436198645 Practice locations: Colorado Springs, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1538 W Costilla St
Colorado Springs, CO 80905-4247

2207 W Colorado Ave
Colorado Springs, CO 80904-3324
Phone (719) 634-6737

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1365COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1386761849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 W COSTILLA ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809054247",
            "telephone_number": "719-634-6737",
            "fax_number": "719-362-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 W COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043324",
            "telephone_number": "719-634-6737",
            "fax_number": "719-362-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-MOORE SCHILLING",
        "first_name": "JOY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "1365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "WILLIAMSMOORE SCHILLING",
            "middle_name": "RUTH",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.