Douglas N Williams, PSY.D.
Individual provider Active NPI Clinical Psychologist · West Springfield, MA
NPI 1821087396 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1821087396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 4546 (MA)
- Practice address
- 380 Union St
Suite 107
West Springfield, MA 01089-4123 - Phone
- (413) 734-2676
- Fax
- (413) 214-6400
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4546 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aletheia Psychological Services | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4546 | MA | Yes |
| Clinical Psychologist | 103TC0700X | 002545 | CT |
Addresses
Primary practice location
380 Union St
Suite 107
West Springfield, MA 01089-4123
Mailing address
9 Ellsworth Rd
Broad Brook, CT 06016-9682
Phone (413) 734-2676
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0524727 | Medicaid | MA |
Other providers in West Springfield, MA
- Laura Wheeler
- Kathleen Whitcomb
- Marla White
- Taryn N White
- Donna M Whyte
- Kimberly Williams
- Kristine Williams
- Leslie Williams
- Rebecca A Williams
- Alyssa Williamson
All providers in West Springfield, MA · Clinical Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.