Organization Active NPI

Williams Psychological, LLC

  • Psychologist
  • Rapid City, SD
National Provider Identifier
1902504186
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WILLIAMS PSYCHOLOGICAL, LLC
Practice address
2640 Jackson Blvd Ste 1
Rapid City, SD 57702-3400
Phone
(605) 341-8647
Fax
(605) 341-0489
NPI assigned
Feb 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Michael Shawn Williams, PSYD
Title
Owner
Phone
(605) 441-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2640 Jackson Blvd Ste 1
Rapid City, SD 57702-3400

Mailing address

2640 Jackson Blvd Ste 1
Rapid City, SD 57702-3400
Phone (605) 341-8647

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1902504186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 JACKSON BLVD STE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023400",
            "telephone_number": "605-341-8647",
            "fax_number": "605-341-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 JACKSON BLVD STE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023400",
            "telephone_number": "605-341-8647",
            "fax_number": "605-341-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS PSYCHOLOGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-441-1003",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.