Individual provider Active NPI

Charlene Ruth Williams, FNP, PSYD

  • Psychiatric/Mental Health Nurse Practitioner
  • Placerville, CA
National Provider Identifier
1972649275
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
883891 Issued in NV
Practice address
670 Placerville Dr Ste 1B
Placerville, CA 95667-4200
Phone
(530) 621-6290
Fax
(530) 622-1293
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X 318213 CA
Family Nurse Practitioner 363LF0000X 883891 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 883891 NV Primary

Addresses

Primary practice location

670 Placerville Dr Ste 1B
Placerville, CA 95667-4200

Mailing address

5221 Davidson Rd
Placerville, CA 95667-9704
Phone (530) 642-2388

Other practice location 1

639 Isbell Rd Ste 380
Reno, NV 89509-4982
Phone (832) 869-4818

Other identifiers 1

IdentifierTypeStateIssuer
AP957ZOtherCAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081021000320 CA Practitioner - Nurse Practitioner 2769540707 Reassigns benefits to 2 organizations
I20250128003128 NV Practitioner - Nurse Practitioner 2769540707 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6472CAMDSpeech-Language Pathologist
318213CAMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychplus Medical Associates, PLLC Family CurrentSince Jan 23, 2025 Accepting new patients
Psychplus Medical Associates of California PC Family CurrentSince Apr 24, 2025 Accepting new patients
Psychplus Associates of California PC CurrentSince Apr 24, 2025 Accepting new patients
Psychiatry of Texas PLLC Family CurrentSince Jan 23, 2025 Accepting new patients

Locations

3095 Telegraph Ave
Berkeley, CA 94705
Phone (510) 495-0772

2915 Red Hill Ave
Ste A210A
Costa Mesa, CA 92626

2677 Zoe Ave
Ste 120
Huntington Pk, CA 90255
Phone (323) 589-1902

1610 R St
Ste 300
Sacramento, CA 95811
Phone (510) 715-1242

4858 Mercury St
San Diego, CA 92111
Phone (561) 283-6014

2500 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 341-1436

639 Isbell Rd
Ste 380
Reno, NV 89509
Phone (775) 348-5800

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 4

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1972649275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 DAVIDSON RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956679704",
            "telephone_number": "530-642-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PLACERVILLE DR STE 1B",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674200",
            "telephone_number": "530-621-6290",
            "fax_number": "530-622-1293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "639 Isbell Rd Ste 380",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895094982",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "fax_number": "832-241-2902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHARLENE",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "FNP, PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "CA",
            "license": "318213",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "883891",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "883891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "AP957Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

Verify at the official NPI Registry.