Active NPI
Willie. S. Williams, PH.D., LLC
- Clinical Psychologist
- Shaker Heights, OH
National Provider Identifier
1629102116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- WILLIE. S. WILLIAMS, PH.D., LLC
- Practice address
- 20310 Chagrin Blvd
Suite 2
Shaker Heights, OH 44122-4913 - Phone
- (216) 491-9405
- Fax
- (216) 491-9406
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Willie S Williams, PH.D.
- Title
- Owner
- Phone
- (216) 491-9405
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
20310 Chagrin Blvd
Suite 2
Shaker Heights, OH 44122-4913
Mailing address
20310 Chagrin Blvd
Suite 2
Shaker Heights, OH 44122-4913
Phone (216) 491-9405
National Provider Directory
National Provider DirectoryLocations
20310 Chagrin Blvd
Ste 2
Shaker Heights, OH 44122
Phone (216) 491-9405
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Shaker Heights, OH
- NPI 1144344334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441670400000",
"number": "1629102116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20310 CHAGRIN BLVD",
"address_2": "SUITE 2",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441224913",
"telephone_number": "216-491-9405",
"fax_number": "216-491-9406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20310 CHAGRIN BLVD",
"address_2": "SUITE 2",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441224913",
"telephone_number": "216-491-9405",
"fax_number": "216-491-9406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIE. S. WILLIAMS, PH.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2015-09-08",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "WILLIE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-491-9405",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.