Active NPI
Williams Receptive P.a.
- Psychiatry Physician
- Fort Pierce, FL
National Provider Identifier
1700724366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- WILLIAMS RECEPTIVE P.A.
- Practice address
- 130 S Indian River Dr Ste 202
Fort Pierce, FL 34950-4353 - Phone
- (855) 526-6766
- Fax
- (800) 381-4814
- NPI assigned
- Mar 24, 2026
- 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
- Amber Gill
- Title
- Ceo
- Phone
- (406) 560-7083
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
130 S Indian River Dr Ste 202
Fort Pierce, FL 34950-4353
Mailing address
2810 N Church St
PMB 79505
Wilmington, DE 19802-4447
Phone (855) 526-6766
Other practice location 1
22525 SE 64th Pl Ste 2378
Issaquah, WA 98027-5383
Phone (855) 526-6766
Other names 1
- ADHD Advisor
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786406400000",
"number": "1700724366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 N CHURCH ST",
"address_2": "PMB 79505",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198024447",
"telephone_number": "855-526-6766",
"fax_number": "800-381-4814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S INDIAN RIVER DR STE 202",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504353",
"telephone_number": "855-526-6766",
"fax_number": "800-381-4814"
}
],
"practiceLocations": [
{
"address_1": "22525 SE 64th Pl Ste 2378",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "980275383",
"country_code": "US",
"telephone_number": "855-526-6766",
"fax_number": "800-381-4814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WILLIAMS RECEPTIVE P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-24",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A",
"authorized_official_last_name": "GILL",
"authorized_official_first_name": "AMBER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "406-560-7083"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ADHD Advisor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.