Organization Active NPI

Gregory L. Williams, Psy.D., PC

  • Clinical Psychologist
  • Olympia, WA
National Provider Identifier
1730369877
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY2410 Issued in WA
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

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Gregory Lynn Williams, PSY.D.NPI 1326139361
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7119985MedicaidWA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.