DR. KELLEY MARTIN WILLIAMS (NPI# 1063661569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063661569 |
| Entity Type | Individual |
| Full Name | DR. KELLEY MARTIN WILLIAMS |
| Credential | PSY.D. |
| Practice Address |
16441 Space Center Blvd Suite C-100 Houston TX 77058 |
| Practice Telephone | 2814807554 |
| Practice Fax Number | 2814804641 |
| Mailing Telephone | (281) 480-7554 |
| Mailing Fax Number | 2814804641 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2017-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
34916 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669979498 | Kelley Denise Williams | Day Training/Habilitation Specialist | 142 Atkins Ave, Asbury Park, NJ 07712-6768 | 2018-04-09 |
| 1629178876 | Kelley Lynne Williams | Social Worker | 2200 Ft Roots Dr, Cavhs, No Little Rock, AR 72114 | 2006-09-25 |
| 1801352059 | Kelley Gleason Williams | Occupational Therapist | 800 N Lake Dr, Lexington, SC 29072-2903 | 2019-02-13 |
| 1881179224 | Kelley Shaunta Williams | Social Worker | 1180 Old Jackson Rd, Farmington, MO 63640-3428 | 2018-10-02 |
| 1255728978 | Kelley Jo Williams | Internal Medicine | 4921 Parkview Pl, Ste 5c, Saint Louis, MO 63110-1032 | 2015-04-21 |
| 1205273018 | Kelley Erin Williams | Registered Nurse | 2790 Atlantic Ave, Long Beach, CA 90806-2755 | 2013-06-03 |
| Street Address |
16441 SPACE CENTER BLVD SUITE C-100 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659186 | Bridget Hales | Counselor | 16441 Space Center Blvd, Houston, TX 77058-2015 | 2018-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699248807 | Jolly Joseph | Nurse Practitioner | 18300, Houston Methodist, Houston, TX 77058 | 2019-01-10 |
| 1700372992 | Jasmin Elise Auzenne | Audiologist | 17625 El Camino Real Ste 155, Houston, TX 77058 | 2018-07-10 |
| 1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
| 1699263285 | Pneucare, LLC | Durable Medical Equipment & Medical Supplies | 1322 Space Park Dr Ste C120, Houston, TX 77058 | 2018-04-29 |
| 1972005189 | Limy Fernandus | Nurse Practitioner | 985 E Nasa Pkwy, Houston, TX 77058 | 2018-03-03 |
| 1033623616 | Sigi Paul | Nurse Practitioner | 1210 El Camino Village Dr., Houston, TX 77058 | 2017-11-19 |
| 1881107845 | Jennifer Elise Hobson | Counselor | 1322 Space Park Dr Ste B123, Houston, TX 77058 | 2017-11-13 |
| 1174035778 | Agrarian Wellness, LLC | Registered Nurse | 17000 El Camino Real Ste 209, Houston, TX 77058 | 2017-11-04 |
| 1013468073 | Cynthia Bandemer | Counselor | 17300 El Camino Real Ste 107d, Houston, TX 77058 | 2016-10-14 |
| 1043698533 | Hopewell Home Healthcare LLC | Nursing Care | 18090 Kings Row, Houston, TX 77058 | 2015-05-15 |
| Find all providers in zip 77058 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790341261 | Ann Caballero | Psychologist | 20333 St Hwy 249 Ste 200, Houston, TX 77070-2613 | 2019-05-10 |
| 1104314533 | Kelly Nicole Banneyer | Psychologist | 6701 Fannin St Ste 1630, Houston, TX 77030-2615 | 2018-05-01 |
| 1679086615 | Houston Psychology and Wellness, Pllc | Psychologist | 1111 North Loop W Ste 820, Houston, TX 77008-4715 | 2017-11-13 |
| 1467824839 | Stewart Pisecco | Psychologist | 2015 Swift Blvd, Houston, TX 77030-1213 | 2015-10-26 |
| 1578969655 | Clear Lake Children's Center | Psychologist | 16815 Royal Crest Dr Ste 160, Houston, TX 77058-2534 | 2014-11-17 |
| 1417090010 | Melanie Yard Gregg | Psychologist | 3100 Weslayan St Ste B, Houston, TX 77027-5727 | 2007-02-14 |
| 1720174253 | Nannette Devon Williams | Psychologist | 7007 North Frwy Suite 300, Houston, TX 77067 | 2006-10-04 |
| 1922643667 | Alyzae Karim | Psychologist | 3730 Kirby Dr Ste 800, Houston, TX 77098-3982 | 2019-11-15 |
| 1740752476 | Real Talk LLC | Psychologist | 7670 Woodway Dr Ste 360, Houston, TX 77063-6500 | 2018-12-19 |
| 1033694591 | Alison Blythe Shellman | Psychologist | 6410 Fannin St Ste 824, Houston, TX 77030-3000 | 2018-10-01 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.