Active NPI
David J Williamson, PH.D.
- Clinical Neuropsychologist
- Mobile, AL
National Provider Identifier
1528181047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 871
- Practice address
- 2450 Old Shell Rd
Mobile, AL 36607-3020 - Phone
- (251) 654-2828
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PY 5277 | FL | |
| Clinical Neuropsychologist | 103G00000X | 871 | AL | Primary |
| Clinical Psychologist | 103TC0700X | PY 5277 | FL | |
| Clinical Psychologist | 103TC0700X | 871 | AL |
Addresses
Primary practice location
2450 Old Shell Rd
Mobile, AL 36607-3020
Mailing address
704 Providence Estate Dr W
Mobile, AL 36695-4606
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 |
|---|---|---|---|
| PY 5277 | FL | MD | Clinical Neuropsychologist |
| 871 | AL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foley Clinic Corp | Past | Accepting new patients | |
| Neurology Child and Adult PC | Clinical | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1599/brand/1/csg/341/fhir/r4
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.
-
- Durable Medical Equipment & Medical Supplies
- Foley, AL
- NPI 1427296029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418342400000",
"number": "1528181047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 PROVIDENCE ESTATE DR W",
"city": "MOBILE",
"state": "AL",
"postal_code": "366954606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 OLD SHELL RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366073020",
"telephone_number": "251-654-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "DAVID",
"middle_name": "J",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2014-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY 5277",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AL",
"license": "871",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 5277",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "871",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.