Individual provider Active NPI

Charles Patrick Williams, PH.D.

  • Psychologist
  • Seven Fields, PA
National Provider Identifier
1871573253
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS003358L Issued in PA
Practice address
100 Northpointe Cir
Suite 306
Seven Fields, PA 16046-7851
Phone
(724) 772-4848
Fax
(724) 772-4888
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS003358L PA Primary

Addresses

Primary practice location

100 Northpointe Cir
Suite 306
Seven Fields, PA 16046-7851

Mailing address

125 Hivue LN
Pittsburgh, PA 15237-1020
Phone (412) 478-3374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000598 PA Practitioner - Clinical Psychologist 8921067539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cranberry Psychological Center, Inc.Group PAC ID 3072501626, 45 clinicians

Practice addresses (Care Compare)

3402 Washington Rd
Suite 304
MC Murray, PA 15317-2964
Phone (724) 941-5363

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cranberry Psychological Center, Inc. Psychologist CurrentSince Aug 1, 2004 Accepting new patients

Locations

3402 Washington Rd
Ste 304
McMurray, PA 15317
Phone (724) 772-4848

100 Northpointe Cir
Ste 306
Seven Fields, PA 16046
Phone (724) 772-4848

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871573253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HIVUE LN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152371020",
            "telephone_number": "412-478-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTHPOINTE CIR",
            "address_2": "SUITE 306",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467851",
            "telephone_number": "724-772-4848",
            "fax_number": "724-772-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHARLES",
        "middle_name": "PATRICK",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS003358L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Fields, PA

Sources for this page

Verify at the official NPI Registry.