Active NPI
Jeff Williams
- School Psychologist
- Madison Heights, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- PPS-0600762
- Practice address
- 257 Trojan Rd
Madison Heights, VA 24572-5346 - Phone
- (434) 846-1307
- NPI assigned
- May 2, 2022
- Last updated
- May 2, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | PPS-0600762 | VA | Primary |
Addresses
Primary practice location
257 Trojan Rd
Madison Heights, VA 24572-5346
Mailing address
PO Box 1257
Amherst, VA 24521-1257
Phone (434) 846-1307
Other practice location 1
132 Amer Cir
Madison Heights, VA 24572-2613
Phone (434) 846-1307
Other practice location 2
219 Trojan Rd
Madison Heights, VA 24572-5346
Phone (434) 846-1307
Other practice location 3
1981 Lowesville Rd
Amherst, VA 24521-4231
Phone (434) 846-1307
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 |
|---|---|---|---|
| PPS-0600762 | VA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amherst County Public Schools | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Management Agency
- Amherst, VA
- NPI 1962020826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1407591720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1257",
"city": "AMHERST",
"state": "VA",
"postal_code": "245211257",
"telephone_number": "434-846-1307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 TROJAN RD",
"city": "MADISON HEIGHTS",
"state": "VA",
"postal_code": "245725346",
"telephone_number": "434-846-1307"
}
],
"practiceLocations": [
{
"address_1": "132 Amer Cir",
"address_purpose": "LOCATION",
"city": "Madison Heights",
"state": "VA",
"postal_code": "245722613",
"country_code": "US",
"telephone_number": "434-846-1307",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "219 Trojan Rd",
"address_purpose": "LOCATION",
"city": "Madison Heights",
"state": "VA",
"postal_code": "245725346",
"country_code": "US",
"telephone_number": "434-846-1307",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1981 Lowesville Rd",
"address_purpose": "LOCATION",
"city": "Amherst",
"state": "VA",
"postal_code": "245214231",
"country_code": "US",
"telephone_number": "434-846-1307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JEFF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-02",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "VA",
"license": "PPS-0600762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison Heights, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.