Individual provider Active NPI

Shawanda Williams-Anderson, PH. D.

  • Clinical Neuropsychologist
  • Houston, TX
National Provider Identifier
1831257492
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
33380 Issued in TX
Practice address
8300 Cypress Creek Pkwy
Suite 450
Houston, TX 77070-5654
Phone
(281) 890-7776
Fax
(281) 890-7785
NPI assigned
Dec 5, 2006
Last updated
Aug 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 33380 TX Primary
Clinical Psychologist 103TC0700X 33380 TX
Clinical Child & Adolescent Psychologist 103TC2200X 33380 TX

Addresses

Primary practice location

8300 Cypress Creek Pkwy
Suite 450
Houston, TX 77070-5654

Mailing address

8300 Cypress Creek Pkwy
Suite 450
Houston, TX 77070-5654
Phone (281) 890-7776

Other identifiers 1

IdentifierTypeStateIssuer
1978520-02MedicaidTX

Other names 1

  • Shawanda Ann Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8140 Walnut Hill Lane
Suite 308
Dallas, TX 75231-4350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33380TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Psy-Med, Inc. CurrentSince Apr 24, 2020 Accepting new patients
Wellness Counseling Center of Texas, LLC Past Accepting new patients

Locations

8140 Walnut Hill Ln
Ste 308
Dallas, TX 75231
Phone (214) 348-5557

7505 Fannin St
Ste 310
Houston, TX 77054
Phone (214) 348-5557

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1831257492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 CYPRESS CREEK PKWY",
            "address_2": "SUITE 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705654",
            "telephone_number": "281-890-7776",
            "fax_number": "281-890-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CYPRESS CREEK PKWY",
            "address_2": "SUITE 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705654",
            "telephone_number": "281-890-7776",
            "fax_number": "281-890-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-ANDERSON",
        "first_name": "SHAWANDA",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "33380",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33380",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "33380",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1978520-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWANDA",
            "last_name": "WILLIAMS",
            "middle_name": "ANN",
            "credential": "PH. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.