Active NPI
Gregory L. Williams, Psy.D., PC
- Clinical Psychologist
- Olympia, WA
National Provider Identifier
1730369877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY2410
- Legal business name
- GREGORY L. WILLIAMS, PSY.D., PC
- Practice address
- 1800 Cooper Point Rd SW Ste 17
Olympia, WA 98502-1179 - Phone
- (360) 754-4662
- Fax
- (360) 352-3289
- NPI assigned
- Nov 6, 2007
- 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
- Gregory Lynn Williams, PSY.D.
- Title
- President
- Phone
- (360) 754-4662
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 | PSY2410 | WA | Primary |
Addresses
Primary practice location
1800 Cooper Point Rd SW Ste 17
Olympia, WA 98502-1179
Mailing address
1800 Cooper Point Rd SW Ste 17
Olympia, WA 98502-1179
Phone (360) 754-4662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7119985 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
1800 Cooper Point Rd SW
Ste 17
Olympia, WA 98502
Phone (360) 352-1668
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Olympia, WA
- NPI 1326139361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205366400000",
"number": "1730369877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 COOPER POINT RD SW STE 17",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985021179",
"telephone_number": "360-754-4662",
"fax_number": "360-352-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 COOPER POINT RD SW STE 17",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985021179",
"telephone_number": "360-754-4662",
"fax_number": "360-352-3289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY L. WILLIAMS, PSY.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-06",
"last_updated": "2008-03-13",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-754-4662",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PSY2410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7119985",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.