Joan P Williams, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4797 Issued in OH

Practice address

4000 Miamisburg Centerville Rd
Sleep Disorders Center Sycamore Medical Center
Miamisburg, OH 45342-7615

Phone

(937) 384-4820

NPI assigned

Oct 15, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Psychological Transitions, Inc

  • Clinical Psychologist
  • Port Clinton, OH
  • NPI 1902914278
  NPD (past)

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1558696138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2362",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430862362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MIAMISBURG CENTERVILLE RD",
            "address_2": "SLEEP DISORDERS CENTER SYCAMORE MEDICAL CENTER",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453427615",
            "telephone_number": "937-384-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOAN",
        "middle_name": "P",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136301",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Andre Wilkinson, MD
• Miriam Elizabeth Wilkinson
• Alcue Williams
• Charles Richard Williams Jr.
• Jennifier Marie Williams, CDCA
• Tyler Williford
• Kevin David Wilson
• Wing Eyecare, Inc. (Wing Eyecare)
• Rachel Ann Winn, MA, CCC-SLP
• Charlene Marie Winslow

• Clinical Psychologist in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.