Individual provider Active NPI

Jeff Williams

  • School Psychologist
  • Madison Heights, VA
National Provider Identifier
1407591720
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
PPS-0600762 Issued in VA
Practice address
257 Trojan Rd
Madison Heights, VA 24572-5346
Phone
(434) 846-1307
NPI assigned
May 2, 2022
Last updated
May 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PPS-0600762VAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amherst County Public Schools CurrentSince May 8, 2022 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.

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.

Verify at the official NPI Registry.