Dale Wayne Williams, PHD

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

21580 Issued in TX

Practice address

8705 Shoal Creek Blvd
Ste. 108
Austin, TX 78757-6802

Phone

(512) 576-8656

Fax

(512) 459-2101

NPI assigned

Jun 22, 2006

Sex

Male

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Samantha J Vigneri

  • Social Worker
  • Hempstead, TX
  • NPI 1073617684

  Health Service

  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1568408730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 BENBROOK DRIVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576953",
            "telephone_number": "512-576-8656",
            "fax_number": "512-459-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8705 SHOAL CREEK BLVD",
            "address_2": "STE. 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576802",
            "telephone_number": "512-576-8656",
            "fax_number": "512-459-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DALE",
        "middle_name": "WAYNE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "TX",
            "license": "21580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000T97A2",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Williams, MHS, RDN, LDN
• Cheryl Williams, RN
• Corissa Williams, MS, RDN
• Craig Williams, L.AC.
• Cynthia Elisabeth Williams, CPNP
• Damaurian Williams
• Darian Nicole Williams
• David R Williams, MD
• Deidra Williams
• Destiny Williams, LCSW

• Health Service Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Health Service Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.