Mark Clay Williams, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0003957 Issued in FL

Practice address

989 Orienta Ave
Life Care Center of Altamonte
Altamonte Springs, FL 32701

Phone

(407) 831-3446

NPI assigned

Jul 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619998416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 ETHAN LANE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146567",
            "telephone_number": "407-647-8437",
            "fax_number": "407-647-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 ORIENTA AVE",
            "address_2": "LIFE CARE CENTER OF ALTAMONTE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-831-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARK",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0003957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina L Williams, ARNP
• Krystle Nicole Gale Williams, ARNP
• Latania Minnette Williams, D.M.D
• Lavet E Williams
• Marcus Orene Williams III, DMD
• Monica Williams, RMHCI
• Sheila D Williams, PH.D.
• Shelby Lane Williams, PA-C, RDN
• Steve K Williams, MD
• Tashayla Williams

• Clinical Psychologist in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.