Active NPI
Jacob Malone Williams, PHD
- Psychologist
- Houston, TX
National Provider Identifier
1467729756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 36961
- Practice address
- 1333 Moursund St
Tirr Department of Psychology/Neuropsychology
Houston, TX 77030-3405 - Phone
- (713) 797-7576
- NPI assigned
- Nov 30, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 36961 | TX | Primary |
Addresses
Primary practice location
1333 Moursund St
Tirr Department of Psychology/Neuropsychology
Houston, TX 77030-3405
Mailing address
1333 Moursund St
Tirr Department of Psychology/Neuropsychology
Houston, TX 77030-3405
Phone (713) 797-7576
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 |
|---|---|---|---|
| 36961 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1467729756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 MOURSUND ST",
"address_2": "TIRR DEPARTMENT OF PSYCHOLOGY/NEUROPSYCHOLOGY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303405",
"telephone_number": "713-797-7576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 MOURSUND ST",
"address_2": "TIRR DEPARTMENT OF PSYCHOLOGY/NEUROPSYCHOLOGY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303405",
"telephone_number": "713-797-7576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JACOB",
"middle_name": "MALONE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-30",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "36961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.