Populations and Interventions Team Company

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

40044 Issued in KS

Legal business name

POPULATIONS AND INTERVENTIONS TEAM COMPANY

Practice address

2518 Ammons St
Anniston, AL 36201

Phone

(678) 310-9707

Fax

(470) 875-0086

NPI assigned

Sep 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Mercedes Merritt Williams, DBH, MPH, ABVE, CCMNPI 1952820086

Title

Ceo/Owner

Phone

(678) 310-9707

Specialties & licenses 4

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mercedes Merritt Williams, DBH, MPH, IPEC, LMSW

  • Public Health & General Preventive Medicine Physician
  • Douglasville, GA
  • NPI 1952820086

  Group Psychotherapy

  NPD Authorized official
• Russell E Brown, MD

  • Psychiatry Physician
  • Marietta, GA
  • NPI 1194769257
  NPD

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1528587367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3182 BERTHAS OVERLOOK",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358458",
            "telephone_number": "678-310-9707",
            "fax_number": "470-875-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 AMMONS ST",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "36201",
            "telephone_number": "678-310-9707",
            "fax_number": "470-875-0086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3182 Berthas Overlook",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301358458",
            "country_code": "US",
            "telephone_number": "678-310-9707",
            "fax_number": "470-875-0083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POPULATIONS AND INTERVENTIONS TEAM COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_middle_name": "MERRITT",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "678-310-9707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBH, MPH, ABVE, CCM"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "28315",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "40044",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "IN",
            "license": "28315",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "IN",
            "license": "28315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Kay Ponder, NURSE PRACTITIONER
• Brittney Lynn Poore, LPTA
• Tristan Andrew Poore, RBT
• Jessica Meek Popham, PHARM.D.
• Chelsea Katelyn Popp, DNP, CRNP, FNP-C
• Shimshon Porat, MD
• David Edward Porterfield, DO
• Sally Posey
• Cristin Prater
• Makenze Prater

• Clinical Psychologist in Anniston, AL
• Providers in Anniston, AL by specialty
• Clinical Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.