Katherine J. Williams, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810002083 Issued in VA

Practice address

109 Park Washington CT
Falls Church, VA 22046-4519

Phone

(703) 533-5825

Fax

(703) 533-8431

NPI assigned

Sep 15, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 1, 2013 through Sep 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1447583000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PARK WASHINGTON CT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464519",
            "telephone_number": "703-533-5825",
            "fax_number": "703-533-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PARK WASHINGTON CT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464519",
            "telephone_number": "703-533-5825",
            "fax_number": "703-533-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KATHERINE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William V Dougherty III DDS PLC
• Kia Marie Williams Eagleton, MSN ANP BC
• Alyssa Williams, VA PHARM.D.
• Autumn Leigh Williams, NP
• Claira E Williams, LPC
• Kimberly Cristol Williams, RN, IBCLC
• Sarah Elizabeth Williams, M.D.
• Christine Marie Willing, M.ED
• Henry S. Willner, MD
• Olivia Jane Wilmarth, MS, CGC

• Clinical Psychologist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.