Active NPI
Kade A Williams, PSYD
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1528609583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810006213
- Practice address
- 500 Macdill Blvd, BLDG 600
Washington, DC 20340 - Phone
- (567) 203-7223
- NPI assigned
- Oct 1, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8010006213 | VA | |
| Clinical Psychologist | 103TC0700X | 0810006213 | VA | Primary |
Addresses
Primary practice location
500 Macdill Blvd, BLDG 600
Washington, DC 20340
Mailing address
500 Macdill Blvd, BLDG 600
Washington, DC 20340
Phone (567) 203-7223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0810006213 | Other | TRICARE | |
| 0810006213 | Other | VA | TRICARE |
Other names 1
- Kathryn Williams
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | FAX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810006213 | VA | MD | Clinical Psychologist |
| 8010006213 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1528609583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MACDILL BLVD, BLDG 600",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20340",
"telephone_number": "567-203-7223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MACDILL BLVD, BLDG 600",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20340",
"telephone_number": "567-203-7223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KADE",
"middle_name": "A",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-01",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "8010006213",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810006213",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "0810006213",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "0810006213",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "FAX",
"affiliation": "N",
"address_1": "1 Jarrett White Rd",
"city": "Tripler Army Medical Center",
"state": "HI",
"country_code": "US",
"postal_code": "968595001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "WILLIAMS",
"credential": "PSY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.