Silver Maple Psychology, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SILVER MAPLE PSYCHOLOGY, LLC

Practice address

13295 Illinois St Ste 207
Carmel, IN 46032-3021

Phone

(317) 208-0731

NPI assigned

Jan 31, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Emily Fleming Williams, PSY.D.

Title

Owner

Phone

(317) 208-0731

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1669936969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 E 82ND ST # 194",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504510",
            "telephone_number": "317-208-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13295 ILLINOIS ST STE 207",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323021",
            "telephone_number": "317-208-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER MAPLE PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "FLEMING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-208-0731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396243911",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Carmel, IN
• Providers in Carmel, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.