Active NPI
Shawanda Williams-Anderson, PH. D.
- Clinical Neuropsychologist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 33380
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1978520-02 | Medicaid | TX |
Other names 1
- Shawanda Ann Williams
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33380 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psy-Med, Inc. | Current | 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.
-
- Clinical Neuropsychologist
- Houston, TX
- NPI 1427202688
-
- Health Psychologist
- Dallas, TX
- NPI 1881842102
-
- Community/Behavioral Health Agency
- Houston, TX
- NPI 1679899546
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
- Glen Williams Jr, RT.R.CT.CV.MR
- Toni Williams Keaton, MD
- Williams Legacy Unlimited LLC (Alliance Pharm D)
- Imane Williams Newsome, APRN- PMHNP
- Sarah Grace Williams Viana
- Tiffanie Ann Williams-Brooks
- Nadine Joan Williams-Dyer, RN
- Sharon Williams-Mattox, APRN, BC-FNP
- Sophia Marie Williams-Perez, MD
- Alexandria Williams-Reich, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.