Active NPI
C Donald Williams MD PS
- Psychiatry Physician
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- C DONALD WILLIAMS MD PS
- Practice address
- 402 E Yakima Ave
#330
Yakima, WA 98901-2755 - Phone
- (509) 457-4611
- Fax
- (509) 454-3295
- NPI assigned
- Oct 26, 2006
- Last updated
- Sep 24, 2008
- 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
- Charles Donald Williams, MD
- Title
- President
- Phone
- (509) 457-4611
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
402 E Yakima Ave
#330
Yakima, WA 98901-2755
Mailing address
402 E Yakima Ave
#330
Yakima, WA 98901-2755
Phone (509) 457-4611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004691 | Other | WA | DEPT OF LABOR & INDUSTRIE |
National Provider Directory
National Provider DirectoryLocations
402 E Yakima Ave
Ste 330
Yakima, WA 98901
Phone (509) 457-4611
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Yakima, WA
- NPI 1235579368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222214400000",
"number": "1770668774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 E YAKIMA AVE",
"address_2": "#330",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989012755",
"telephone_number": "509-457-4611",
"fax_number": "509-454-3295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 E YAKIMA AVE",
"address_2": "#330",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989012755",
"telephone_number": "509-457-4611",
"fax_number": "509-454-3295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C DONALD WILLIAMS MD PS",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2008-09-24",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "DONALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "509-457-4611",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR & INDUSTRIE",
"identifier": "0004691",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.