Active NPI
Steven James Williams, LPA
- Clinical Psychologist
- Raleigh, NC
National Provider Identifier
1740468115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2106
- Practice address
- 3209 Quiet Mill Rd
A6
Raleigh, NC 27612-4308 - Phone
- (919) 685-7662
- NPI assigned
- Feb 7, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 2106 | NC | |
| Clinical Psychologist | 103TC0700X | 2106 | NC | Primary |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 2106 | NC |
Addresses
Primary practice location
3209 Quiet Mill Rd
A6
Raleigh, NC 27612-4308
Mailing address
3209 Quiet Mill Rd
A6
Raleigh, NC 27612-4308
Phone (919) 685-7662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2106 | NC | MD | Intellectual & Developmental Disabilities Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1740468115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3209 QUIET MILL RD",
"address_2": "A6",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276124308",
"telephone_number": "919-685-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 QUIET MILL RD",
"address_2": "A6",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276124308",
"telephone_number": "919-685-7662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "STEVEN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LPA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-07",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "2106",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "2106",
"primary": true
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "NC",
"license": "2106",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.