Organization Active NPI

Michael D. Williams, PC

  • Psychologist
  • Taunton, MA
National Provider Identifier
1881830206
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7469 Issued in MA
Legal business name
MICHAEL D. WILLIAMS, PC
Practice address
174 Dean St
Unit D
Taunton, MA 02780-2782
Phone
(508) 212-5730
Fax
(508) 337-9338
NPI assigned
Jan 7, 2009
Last updated
Oct 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Michael D. Williams, PH.D.NPI 1043393432
Title
Owner
Phone
(508) 212-5730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7469 MA Primary

Addresses

Primary practice location

174 Dean St
Unit D
Taunton, MA 02780-2782

Mailing address

3 Sandy Hill Rd
Mansfield, MA 02048-3246
Phone (508) 212-5730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100721000331 MA Part B Supplier - Clinic/Group Practice 4789716192 Receives reassigned benefits from 1 practitioner
Practice locations: Taunton, MA

National Provider Directory

National Provider Directory

Locations

24 Welby Rd
New Bedford, MA 02745
Phone (508) 212-5730

24 Welby Rd
New Bedford, MA 02745
Phone (508) 212-5730

174 Dean St
Ste D
Taunton, MA 02780
Phone (508) 212-5730

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1881830206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SANDY HILL RD",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020483246",
            "telephone_number": "508-212-5730",
            "fax_number": "508-337-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 DEAN ST",
            "address_2": "UNIT D",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802782",
            "telephone_number": "508-212-5730",
            "fax_number": "508-337-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. WILLIAMS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-212-5730",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.