Active NPI
Robert Macy Williams
- Occupational Therapist
- Santa Rosa, CA
National Provider Identifier
1760042592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15591
- Practice address
- 110 Stony Point Rd
Santa Rosa, CA 95401-4118 - Phone
- (707) 535-5600
- NPI assigned
- Jun 14, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15591 | CA | Primary |
Addresses
Primary practice location
110 Stony Point Rd
Santa Rosa, CA 95401-4118
Mailing address
7464 Monet PL
Rohnert Park, CA 94928-3626
Phone (707) 480-6095
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 |
|---|---|---|---|
| 15591 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1760042592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7464 MONET PL",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949283626",
"telephone_number": "707-480-6095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 STONY POINT RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014118",
"telephone_number": "707-535-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ROBERT",
"middle_name": "MACY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-14",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "15591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.