Active NPI
Williams Psychological Corp
- Clinical Psychologist
- Knoxville, TN
National Provider Identifier
1710965728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- WILLIAMS PSYCHOLOGICAL CORP
- Practice address
- 18 Forest CT
Knoxville, TN 37919-5001 - Phone
- (865) 909-0929
- Fax
- (865) 909-0926
- NPI assigned
- Jan 9, 2006
- 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
- Joshua Williams, PHD
- Title
- President
- Phone
- (865) 909-0929
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
18 Forest CT
Knoxville, TN 37919-5001
Mailing address
18 Forest CT
Knoxville, TN 37919-5001
Phone (865) 909-0929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071108000205 | TN | Part B Supplier - Clinic/Group Practice | 6204924293 |
Receives reassigned benefits from 2 practitioners Practice locations: Knoxville, TN |
National Provider Directory
National Provider DirectoryLocations
123 Forest Ct
Knoxville, TN 37919
Phone 86558485473114
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Health Service Psychologist
- Knoxville, TN
- NPI 1649361957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197504000000",
"number": "1710965728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 FOREST CT",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379195001",
"telephone_number": "865-909-0929",
"fax_number": "865-909-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 FOREST CT",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379195001",
"telephone_number": "865-909-0929",
"fax_number": "865-909-0926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMS PSYCHOLOGICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-09",
"last_updated": "2007-12-13",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "865-909-0929",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.