Active NPI
Matthew Michael Williams, PH.D.
- Clinical Psychologist
- Killeen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 36045
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 36045 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluebonnet Trails Community MHMR Center | Current | Accepting new patients | |
| Matthew Williams, PHD PLLC | Professional | Current | Accepting new patients |
| Bluebonnet Trails Community MHMR Center | Professional | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Round Rock, TX
- NPI 1730135864
Professional, TX
-
- Rural Health Clinic/Center
- La Grange, TX
- NPI 1518536309
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.