Williams Psychology Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 202563 Issued in ID

Legal business name

WILLIAMS PSYCHOLOGY INC.

Practice address

3771 N Eagle Rd
Boise, ID 83713-5005

Phone

(208) 375-6402

Fax

(888) 505-3331

NPI assigned

Feb 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Keith Lee Williams, PH.D.NPI 1174716005

Title

Company Owner

Phone

(208) 375-6402

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Lee Williams, PH.D.

  • Clinical Psychologist
  • Boise, ID
  • NPI 1174716005
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1982943478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 N EAGLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135005",
            "telephone_number": "208-375-6402",
            "fax_number": "888-505-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 N EAGLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135005",
            "telephone_number": "208-375-6402",
            "fax_number": "888-505-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS PSYCHOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "COMPANY OWNER",
        "authorized_official_telephone_number": "208-375-6402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY 202563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Lindner, MD
• William S Scholes DDS, P.C.
• William W. Calhoun, D.D.S., P.a.
• Williams Chiro Med Inc
• Williams Chiro Med, Inc
• Adrienne Williams, LCSW
• Amanda Clare Williams, MD
• Angela Williams
• Barry Lynn Williams
• Brian Caleb Williams, CRNA DNP

• Clinical Psychologist in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.