Individual provider Active NPI

Laurie T Williams, PHD

  • Clinical Psychologist
  • Knoxville, TN
National Provider Identifier
1437137338
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P1018 Issued in TN
Practice address
18 Forest CT
Knoxville, TN 37919-5001
Phone
(865) 909-0929
Fax
(865) 909-0926
NPI assigned
Jan 3, 2006
Last updated
Dec 13, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P1018 TN Primary

Addresses

Primary practice location

18 Forest CT
Knoxville, TN 37919-5001

Mailing address

18 Forest CT
Knoxville, TN 37919-5001
Phone (865) 909-0929

Other identifiers 2

IdentifierTypeStateIssuer
0035692OtherBLUE CROSS BLUE SHIELD
36823971MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040324001346 TN Practitioner - Clinical Psychologist 4486545902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Tennessee, HSC, College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Williams Psychological CorpGroup PAC ID 6204924293, 2 clinicians

Practice addresses (Care Compare)

123 Forest CT
Knoxville, TN 37919-5078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P1018TNMDClinical Psychologist
1018TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Psychological Corp Clinical CurrentSince Oct 30, 2007 Accepting new patients

Locations

123 Forest Ct
Knoxville, TN 37919
Phone (865) 909-0929

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1437137338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FOREST CT",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195001",
            "telephone_number": "865-909-0929",
            "fax_number": "865-909-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 FOREST CT",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195001",
            "telephone_number": "865-909-0929",
            "fax_number": "865-909-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LAURIE",
        "middle_name": "T",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P1018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0035692",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36823971",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.