Tanya Estella Williamson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

015743 Issued in NY

Practice address

6858 E Genesee St
2ND Floor
Fayetteville, NY 13066-1051

Phone

(315) 703-3033

Fax

(315) 703-3033

NPI assigned

Jan 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1720134489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6858 E GENESEE ST",
            "address_2": "2ND FLOOR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661051",
            "telephone_number": "315-703-3033",
            "fax_number": "315-703-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6858 E GENESEE ST",
            "address_2": "2ND FLOOR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661051",
            "telephone_number": "315-703-3033",
            "fax_number": "315-703-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "TANYA",
        "middle_name": "ESTELLA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Thomas Wiedeman, MD.
• Natasha Marie Wilcox, MSN, APRN, FNP-BC
• William G. Patrick, M.D., P.C.
• William Tucker MD PLLC
• Howard J Williams, MD
• Alison D Willis, RPH
• Calista Mary Winders, PA-C
• William Wojnowicz, RPH
• Sarah Dyanne Wolf-Gramzow, LMFT, PHD
• Emily Mariah Wolf, LMHC

• Clinical Psychologist in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.

Verify at the official NPI Registry.