Active NPI
Paul Vincent Williams, M.D.
- Psychiatry Physician
- Rockville, MD
National Provider Identifier
1740330752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0017163
- Practice address
- 1 Church St
Suite 602
Rockville, MD 20850-4158 - Phone
- (240) 314-0690
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0017163 | MD | Primary |
Addresses
Primary practice location
1 Church St
Suite 602
Rockville, MD 20850-4158
Mailing address
1 Church St
Suite 602
Rockville, MD 20850-4158
Phone (240) 314-0690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188271600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110125000501 | DC | Practitioner - Psychiatry | 2668651589 | Practice locations: Rockville, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Howard University College of Medicine, 1974
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Church St
Rockville, MD 20850-4162
Phone (240) 314-0690
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284595200000",
"number": "1740330752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHURCH ST",
"address_2": "SUITE 602",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504158",
"telephone_number": "240-314-0690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHURCH ST",
"address_2": "SUITE 602",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504158",
"telephone_number": "240-314-0690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "PAUL",
"middle_name": "VINCENT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2010-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0017163",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188271600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.