DR. ANDREA MICHELLE WILLIAMS (NPI# 1114466869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114466869 |
| Entity Type | Individual |
| Full Name | DR. ANDREA MICHELLE WILLIAMS |
| Credential | PSYD |
| Practice Address |
10665 Stanhaven Pl Ste 3119 White Plains MD 20695-3055 |
| Mailing Address |
5008 Vane Ct Waldorf MD 20602-1526 |
| Practice Telephone | 3012023739 |
| Practice Fax Number | 2406026702 |
| Mailing Telephone | 3012023739 |
| Mailing Fax Number | 3018850922 |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2019-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
05717 | MD | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 Post Office Rd, Waldorf, MD 206021912 | 3018480461 | 3018850922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959736 | Andrea Williams | Pharmacist | 13231 Windbrooke Ln, Saint Louis, MO 63146-2221 | 2020-10-09 |
| 1073142790 | Andrea Williams | Developmental Therapist | 50 Faith Ct Apt 12, Somerset, KY 42503-5887 | 2020-04-04 |
| 1992331714 | Andrea Williams | Nurse Practitioner | 55 Mckenzie Cv, Marion, AR 72364-2661 | 2020-03-13 |
| 1669002861 | Andrea Williams | Case Manager/Care Coordinator | 3200 Taft Park, Metairie, LA 70002-5736 | 2020-01-16 |
| 1386287977 | Andrea Janette Williams | Massage Therapist | 2440 Hwy 258n, Kinston, NC 28504-7203 | 2019-10-25 |
| 1588100697 | Andrea Denise Williams | Home Health Aide | 319 Knob Hill Dr, 227 Kilmaine Court, Jackson, MS 39209-2822 | 2017-01-12 |
| 1669923678 | Andrea Lynn Williams | Registered Nurse | 15280 Shay Cut Off Rd, Kingston, OK 73439-8149 | 2016-10-14 |
| 1265803530 | Andrea Williams | Registered Nurse | 500 Congaree Church Rd, Gadsden, SC 29052-9713 | 2015-10-13 |
| 1447664545 | Andrea Renee Williams | Emergency Medicine | 799 Farson St - Emergency Department, Belpre, OH 45714 | 2014-06-17 |
| 1427485903 | Andrea G Williams | Registered Nurse | 1451 E 102nd St, Brooklyn, NY 11236-5509 | 2013-09-30 |
| Street Address |
10665 STANHAVEN PL STE 3119 |
| City | WHITE PLAINS |
| State | MD |
| Zip Code | 20695-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023590452 | Dominique Bouldin | Driver | 11136 Saint Christopher Drive, White Plains, MD 20695 | 2018-09-01 |
| 1366928665 | Wooten Lyons LLC | Psychiatry & Neurology | 10665 Stanhaven Place, Suite 300a, White Plains, MD 20695 | 2018-07-19 |
| 1962914507 | Kids By The Bay Dental LLC | Clinic/Center | 5010 Regency Place Ste 102, White Plains, MD 20695 | 2017-11-03 |
| 1528592896 | Darlena Austin | Social Worker | 5310 Exeter Place, White Plains, MD 20695 | 2017-04-13 |
| 1609307040 | Phylicia Wooten | Counselor | 5510 Regency Place Suite 203, White Plains, MD 20695 | 2017-03-27 |
| 1760856488 | Stephanie W Allen | Physical Therapist | Ospt South Office 4470 Regency Place, Suite #100, White Plains, MD 20695 | 2015-11-18 |
| 1457743122 | Raven Gray | Physical Therapy Assistant | 10708 Esprit Place, White Plains, MD 20695 | 2015-03-04 |
| 1043629850 | Adenike Kupolati | Pharmacist | 4220 Altamont Place, White Plains, MD 20695 | 2014-08-06 |
| 1942532064 | Divine Intervention Community Support Services | Community/Behavioral Health | 7727 Chesterfied Ct., White Plains, MD 20695 | 2010-02-01 |
| 1740517895 | Optionet Support Service | Community/Behavioral Health | 7727 Chesterfield Court, White Plains, MD 20695 | 2009-11-11 |
| Find all providers in zip 20695 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163707 | Kevin Mckiernan | Psychologist | 333 Westchester Ave Ste Ln02, White Plains, NY 10604-2912 | 2020-08-02 |
| 1457971863 | Samantha Lynne Miller | Psychologist | 34 S Broadway Ste 506, White Plains, NY 10601-4429 | 2020-04-26 |
| 1013561737 | Deborah Matthews | Psychologist | 128 Court St Fl 2, White Plains, NY 10601-4802 | 2019-07-31 |
| 1376010736 | Annette J Rotter | Psychologist | 23 Winslow Rd, White Plains, NY 10606-3521 | 2018-10-24 |
| 1508349564 | Dana Serino | Psychologist | 959 Hartsdale Rd, White Plains, NY 10607-1219 | 2018-09-14 |
| 1073022463 | Samantha Jennie Buchman | Psychologist | 21 Bloomingdale Rd Ofc 206a, White Plains, NY 10605-1504 | 2017-09-28 |
| 1407374093 | Andrea Deutsch | Psychologist | 34 S Broadway Ste 208, White Plains, NY 10601-4431 | 2017-09-02 |
| 1023450756 | Mind Dynamics | Psychologist | 34 S Broadway Ste 607, White Plains, NY 10601-4428 | 2013-07-23 |
| 1366779993 | Rebecca Joyce Hale | Psychologist | 297 Knollwood Rd Ste 208, White Plains, NY 10607-1833 | 2009-11-03 |
| 1356584536 | Anabel Veronica Kassembe | Psychologist | 39 Sterling Ave, #10, White Plains, NY 10606-3012 | 2009-04-17 |
| Find all providers in WHITE PLAINS | ||||
| City | WHITE PLAINS |
| Zip Code | 20695 |
Please comment or provide details below to improve the information on DR. ANDREA MICHELLE WILLIAMS.
| 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.