Active NPI
Alan S Williams, LPT
- Licensed Psychiatric Technician
- Antelope, CA
National Provider Identifier
1649505868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 19653
- Practice address
- 8916 Redwater Dr
Antelope, CA 95843-4978 - Phone
- (916) 833-0222
- NPI assigned
- Oct 6, 2009
- Last updated
- Oct 6, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 19653 | CA | Primary |
Addresses
Primary practice location
8916 Redwater Dr
Antelope, CA 95843-4978
Mailing address
8916 Redwater Dr
Antelope, CA 95843-4978
Phone (916) 833-0222
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19653 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254787200000",
"number": "1649505868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8916 REDWATER DR",
"city": "ANTELOPE",
"state": "CA",
"postal_code": "958434978",
"telephone_number": "916-833-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8916 REDWATER DR",
"city": "ANTELOPE",
"state": "CA",
"postal_code": "958434978",
"telephone_number": "916-833-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ALAN",
"middle_name": "S",
"credential": "LPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-06",
"last_updated": "2009-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "19653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antelope, CA
- Wal-Mart Sores, Inc. (Vision Center 30-5192)
- Walmart Inc. (Walmart Pharmacy 10-1881)
- Walmart Stores, Inc. (Vision Center 30-1881)
- William J. Black DDS, Inc
- Kamala Lynn William
- Katherine L. Wilson, PSY. D
- Rebecca Shoua Yang, PHARMD
- Yellowtail Home Care LLC (Yellowtail Home Care)
- Rian Carlo Yu
- Emily Zarzeka
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.