Individual provider Active NPI

Elizabeth Carrie Williams, PSY D

  • Clinical Child & Adolescent Psychologist
  • Cincinnati, OH
National Provider Identifier
1447795604
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
P.7524 Issued in OH
Practice address
225 Calhoun Street
Suite 200
Cincinnati, OH 45219-1528
Phone
(513) 556-0648
Fax
(513) 556-2302
NPI assigned
Dec 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7524 OH
Clinical Child & Adolescent Psychologist 103TC2200X P.7524 OH Primary

Addresses

Primary practice location

225 Calhoun Street
Suite 200
Cincinnati, OH 45219-1528

Mailing address

Mail Location 0034
Cincinnati, OH 45221-0034
Phone (513) 556-0648

Other practice location 1

7777 Yankee Road, ML 16066
Liberty Township, OH 45044-3500
Phone (513) 803-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200129001622 OH Practitioner - Clinical Psychologist 0345676029 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7524OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center CurrentSince Dec 14, 2019 Accepting new patients
University of Cincinnati Counseling & Psychological Services Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

7777 Yankee Rd
#16066
Liberty Township, OH 45044
Phone (513) 636-4788

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1447795604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAIL LOCATION 0034",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452210034",
            "telephone_number": "513-556-0648",
            "fax_number": "513-556-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CALHOUN STREET",
            "address_2": "SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191528",
            "telephone_number": "513-556-0648",
            "fax_number": "513-556-2302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Yankee Road, ML 16066",
            "address_purpose": "LOCATION",
            "city": "Liberty Township",
            "state": "OH",
            "postal_code": "450443500",
            "country_code": "US",
            "telephone_number": "513-803-9600",
            "fax_number": "513-636-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ELIZABETH",
        "middle_name": "CARRIE",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "7524",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "P.7524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.