DR. CARL WILLIAMS (NPI# 1730403205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730403205 |
| Entity Type | Individual |
| Full Name | DR. CARL WILLIAMS |
| Credential | PH.D. |
| Practice Address |
1491 Main St Willimantic CT 06226-1914 |
| Practice Telephone | 8604563215 |
| Practice Fax Number | 8604233351 |
| Mailing Telephone | 8604563215 |
| Mailing Fax Number | 8604233351 |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2012-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000953 | CT | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
103-022 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | ADDICTIONS PROFESSIONAL LICENSE NUMBER | 37LC0013400 | 01 |
| NJ | PSYCHOLOGY INTERN PERMIT NUMBER | 103-022 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568975357 | Carl Williams | Counselor | 833 Chieff Eddie Hoffman Hwy, Bethel, AK 99559 | 2017-11-15 |
| 1245699883 | Carl M Williams | Counselor | 1655 Standard St, Baton Rouge, LA 70807-3042 | 2016-02-10 |
| 1366719056 | Carl Hilton Williams | Emergency Medical Technician, Basic | 1957 N Ardenwood Dr, Apt 6072, Baton Rouge, LA 70806-1632 | 2011-11-23 |
| 1780833533 | Carl Robert Williams Jr. | Physician Assistant | 315 Cameron Trl, Lakehills, TX 78063-6262 | 2008-09-17 |
| 1982804076 | Carl Hennessy Williams | Family Medicine | 400 E Pedregosa St, #b, Santa Barbara, CA 93103 | 2007-07-18 |
| 1912100686 | Carl Frederick Williams | Spec/Tech, Cardiovascular | 7350 S Tamiami Trl # 2, Pmb 239, Sarasota, FL 34231-7004 | 2007-06-08 |
| 1508086042 | Carl L Williams | Counselor | 4822 Campbell Rd, Las Cruces, NM 88007-6835 | 2007-04-26 |
| 1013136399 | Carl Williams | Chiropractor | 1978 Main St, Watsonville, CA 95076-3066 | 2007-04-24 |
| 1629173646 | Carl Felton Williams IIi | Dentist | 297 Medical Court, Oglethorpe, GA 31068 | 2006-09-14 |
| 1700044427 | Carl D Williams | Psychologist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2008-05-29 |
| Street Address |
1491 MAIN ST |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062861 | Luke B O'brien | Social Worker | 1491 Main St, Willimantic, CT 06226-1914 | 2020-04-24 |
| 1730736059 | Shontelle Ifill | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2019-08-21 |
| 1003469990 | William Bergmann | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2019-07-19 |
| 1053870212 | Ryan Tacy | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2019-03-18 |
| 1972061745 | Barbara Smith | Licensed Practical Nurse | 1491 Main St, Willimantic, CT 06226-1914 | 2019-03-11 |
| 1609340272 | Elizabeth Kellert | Social Worker | 1491 Main St, Willimantic, CT 06226-1914 | 2019-01-17 |
| 1932673019 | Ellen Vangelakos | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2019-01-11 |
| 1831696202 | Deborah L Straszheim | Social Worker | 1491 Main St, Willimantic, CT 06226-1914 | 2018-04-11 |
| 1982136537 | William Buller | Student in an Organized Health Care Education/Training Program | 1491 Main St, Willimantic, CT 06226-1914 | 2017-04-03 |
| 1891246567 | Laura Davis | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2016-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669962163 | Nutmeg Neuropsychology LLC | Psychologist | 322 Main St Ste 2e-1o, Willimantic, CT 06226 | 2018-05-10 |
| 1104344365 | Taylor Girard | Social Worker | 54-56 Boston Post Road, Willimantic, CT 06226 | 2017-09-07 |
| 1194268490 | Donald Diange | Pharmacist | 1391 Main Street, Willimantic, CT 06226 | 2016-11-18 |
| 1386988954 | Gale K Lockland | Psychologist | 112 Mansfield Avenue, Windham Community Memorial Hospital, Willimantic, CT 06226 | 2012-11-20 |
| 1831343060 | Carlita R Baldwin | Counselor | 366 Ash Street, Unit 4, Willimantic, CT 06226 | 2008-11-14 |
| 1023211190 | Joel Lee Reinholtz | Physical Therapy Assistant | 595 Valley Street, Windham, CT 06226 | 2007-06-07 |
| 1265654719 | Mcsweeney Regional Senior Center | Clinic/Center | 47 Crescent St, Willimantic, CT 06226 | 2007-05-03 |
| 1912012964 | John Wescott Stevens | Dentist | 1581 W Main St, Willmantic, CT 06226 | 2006-08-20 |
| 1801802756 | Kathryn Nelson | Family Medicine | 355 High Street, Willimantic, CT 06226 | 2006-07-31 |
| 1710914379 | The Foot Group, LLC | Podiatrist | 162 A Mansfield Ave, Willimantic, CT 06226 | 2006-06-27 |
| Find all providers in zip 06226 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831343060 | Carlita R Baldwin | Counselor | 366 Ash Street, Unit 4, Willimantic, CT 06226 | 2008-11-14 |
| 1235737065 | Tyler C Beckwith | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2020-10-14 |
| 1780243857 | Rachael Elizabeth Farina | Counselor | 54 North St, Willimantic, CT 06226-2528 | 2019-06-11 |
| 1336544162 | Miguel Caldera | Counselor | 54 North St, Willimantic, CT 06226-2528 | 2014-10-22 |
| 1780923896 | Jose Ayala | Counselor | 54 North St, Willimantic, CT 06226-2528 | 2013-02-08 |
| 1700134111 | Sandra Gifford | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2012-08-16 |
| 1285909846 | Terrence Smith | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2012-03-15 |
| 1760750715 | Linda Therrien Decastro | Counselor | 54 North St, Willimantic, CT 06226-2528 | 2011-12-06 |
| 1346518347 | Vicki Lynn Barbero | Counselor | 54 North St, Willimantic, CT 06226-2528 | 2011-12-05 |
| 1750566931 | Lauriann Zane | Counselor | 54 North St, Willimantic, CT 06226-2528 | 2008-01-07 |
| Find all providers in WILLIMANTIC | ||||
| City | WILLIMANTIC |
| Zip Code | 06226 |
Please comment or provide details below to improve the information on DR. CARL 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.