Active NPI
Cecelia L. Williams, PSY.D., MSW
- Clinical Psychologist
- Smyrna, GA
National Provider Identifier
1407094162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY003254
- Practice address
- 4045 Orchard Rd SE
Suite 110
Smyrna, GA 30080-4902 - Phone
- (770) 293-1950
- Fax
- (770) 293-1955
- NPI assigned
- Feb 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY003254 | GA | Primary |
Addresses
Primary practice location
4045 Orchard Rd SE
Suite 110
Smyrna, GA 30080-4902
Mailing address
4045 Orchard Rd.
Suite 110
Smyrna, GA 30080-4904
Phone (770) 293-1950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003254 | GA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenny Van Overbeke Brooks, PH.D., P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Smyrna, GA
- NPI 1407003536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233619200000",
"number": "1407094162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 ORCHARD RD.",
"address_2": "SUITE 110",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300804904",
"telephone_number": "770-293-1950",
"fax_number": "770-293-1955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 ORCHARD RD SE",
"address_2": "SUITE 110",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300804902",
"telephone_number": "770-293-1950",
"fax_number": "770-293-1955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CECELIA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PSY.D., MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-03",
"last_updated": "2009-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY003254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.