Active NPI
Thomas Williams, M.D.
- Child & Adolescent Psychiatry Physician
- Rochester, NY
National Provider Identifier
1780737908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 168250-1
- Practice address
- 3399 Winton Rd S
Rochester, NY 14623-3057 - Phone
- (585) 334-6000
- NPI assigned
- Jan 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 168250-1 | NY | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 168250-1 | NY | Primary |
Addresses
Primary practice location
3399 Winton Rd S
Rochester, NY 14623-3057
Mailing address
6 Beauclaire LN
Fairport, NY 14450-4618
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EXCELLUS | Other | NY | P010168250 |
| AETNA | Other | NY | 7419324 |
| PREFERRED CARE | Other | NY | 103392EU |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168250-1 | NY | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Cerebral Palsy Association of the Rochester Area, Inc. | Past | Accepting new patients | |
| Finger Lakes United Cerebral Palsy, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Canandaigua, NY
- NPI 1194835462
-
- Clinic/Center
- Rochester, NY
- NPI 1942275821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268611200000",
"number": "1780737908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BEAUCLAIRE LN",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144504618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3399 WINTON RD S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146233057",
"telephone_number": "585-334-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2010-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "168250-1",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "168250-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "P010168250",
"identifier": "EXCELLUS",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "7419324",
"identifier": "AETNA",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "103392EU",
"identifier": "PREFERRED CARE",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.