Active NPI
Holly Clare Williams, PHD
- Psychologist
- Cedar Creek, TX
National Provider Identifier
1467118984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 25164
- Practice address
- 112 Vereo St
Cedar Creek, TX 78612-4297 - Phone
- (512) 773-4133
- NPI assigned
- Nov 9, 2021
- Last updated
- Nov 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 25164 | TX | Primary |
Addresses
Primary practice location
112 Vereo St
Cedar Creek, TX 78612-4297
Mailing address
112 Vereo St
Cedar Creek, TX 78612-4297
Phone (512) 773-4133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25164 | Other | TX | TEXAS STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25164 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1467118984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 VEREO ST",
"city": "CEDAR CREEK",
"state": "TX",
"postal_code": "786124297",
"telephone_number": "512-773-4133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 VEREO ST",
"city": "CEDAR CREEK",
"state": "TX",
"postal_code": "786124297",
"telephone_number": "512-773-4133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "HOLLY",
"middle_name": "CLARE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "25164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS",
"identifier": "25164",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Creek, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.