Active NPI
Janice E. Williams, PH.D.
- Clinical Psychologist
- Bronx, NY
National Provider Identifier
1538382288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 010111-1
- Practice address
- 800 Grand Concourse Apt 1Es
Bronx, NY 10451-3017 - Phone
- (212) 283-5444
- NPI assigned
- Apr 11, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 010111-1 | NY | Primary |
Addresses
Primary practice location
800 Grand Concourse Apt 1Es
Bronx, NY 10451-3017
Mailing address
800 Grand Concourse Apt 1Es
Bronx, NY 10451-3017
Phone (212) 283-5444
Other practice location 1
466 Main St
Upper Level
New Rochelle, NY 10801-6431
Phone (914) 235-8626
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135524 | Other | NY | VALUE OPTIONS PROVIDER |
| 230921 | Other | NY | COMPSYCH PROVIDER NUMBER |
| 0063459 | Other | NY | GHI PROVIDER NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010111-1 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511136000000",
"number": "1538382288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 GRAND CONCOURSE APT 1ES",
"city": "BRONX",
"state": "NY",
"postal_code": "104513017",
"telephone_number": "212-283-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 GRAND CONCOURSE APT 1ES",
"city": "BRONX",
"state": "NY",
"postal_code": "104513017",
"telephone_number": "212-283-5444"
}
],
"practiceLocations": [
{
"address_1": "466 Main St",
"address_2": "Upper Level",
"address_purpose": "LOCATION",
"city": "New Rochelle",
"state": "NY",
"postal_code": "108016431",
"country_code": "US",
"telephone_number": "914-235-8626",
"fax_number": "718-993-3659",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JANICE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2017-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "010111-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PROVIDER",
"identifier": "135524",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH PROVIDER NUMBER",
"identifier": "230921",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER NUMBER",
"identifier": "0063459",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.