Individual provider Active NPI

Matthew Michael Williams, PH.D.

  • Clinical Psychologist
  • Killeen, TX
National Provider Identifier
1962545491
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36045 Issued in TX
Practice address
1711 E Central Texas Expy Ste 106B
Killeen, TX 76541-9145
Phone
(254) 781-2027
Fax
(254) 781-2028
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 36045 TX Primary

Addresses

Primary practice location

1711 E Central Texas Expy Ste 106B
Killeen, TX 76541-9145

Mailing address

715 Cactus LN
Copperas Cove, TX 76522-7686
Phone (254) 781-2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20121030000493 TX Practitioner - Clinical Psychologist 6507016458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1711 E Central Texas Expy
Suite 106B
Killeen, TX 76541-9145
Phone (254) 781-2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36045TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebonnet Trails Community MHMR Center CurrentSince Nov 6, 2023 Accepting new patients
Matthew Williams, PHD PLLC Professional CurrentSince Nov 1, 2017 Accepting new patients
Bluebonnet Trails Community MHMR Center Professional CurrentSince Nov 6, 2023 Accepting new patients

Locations

1711 E Central Texas Expy
Ste 106B
Killeen, TX 76541
Phone (254) 781-2027

1711 E Central Texas Expy
Ste 300I
Killeen, TX 76541
Phone (254) 781-2027

207 E 2nd St
Lampasas, TX 76550
Phone (512) 555-1212

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1962545491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 CACTUS LN",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765227686",
            "telephone_number": "254-781-2027",
            "fax_number": "254-781-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 E CENTRAL TEXAS EXPY STE 106B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765419145",
            "telephone_number": "254-781-2027",
            "fax_number": "254-781-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.