MR. DOUGLAS CARLTON WILLIAMS (NPI# 1255465803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255465803 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS CARLTON WILLIAMS |
| Credential | M.S., LP & LMFT |
| Practice Address |
1516 W Lake St Suite 103 Minneapolis MN 55408-2554 |
| Mailing Address |
2712 Fremont Ave S Minneapolis MN 55408-1122 |
| Practice Telephone | 6128233707 |
| Practice Fax Number | 6128221360 |
| Mailing Telephone | 6128233707 |
| Mailing Fax Number | 6128221360 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TF0000X |
Psychologist Specialization: Family |
LP0994 | MN | Behavioral Health & Social Service Providers |
| X | 103TF0200X |
Psychologist Specialization: Forensic |
LP0994 | MN | Behavioral Health & Social Service Providers |
| X | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
LO0994 | MN | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 179 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UBH | 6253218 | 01 | |
| BCBS | 66G32WI | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568821544 | Douglas Wade Williams | Massage Therapist | 7919 Nighthawk Trl, Arlington, TX 76002-4197 | 2016-02-18 |
| 1124271721 | Douglas Ray Williams | Hearing Instrument Specialist | 503 W Appleway Ave Ste P, Coeur D Alene, ID 83814-8303 | 2008-10-28 |
| 1447463724 | Douglas Wayne Williams | Pharmacist | 1011 Se 4th Ter, Lees Summit, MO 64063-3221 | 2007-05-07 |
| 1952447559 | Douglas Lawrence Williams | Chiropractor | 134 Executive Dr, Suite 3, Lafayette, IN 47905 | 2007-01-30 |
| 1164585642 | Douglas Russell Williams | Dentist | 110 4th St Nw, Bemidji, MN 56601-3103 | 2006-12-18 |
| 1205921897 | Douglas P Williams | Dentist | 2220 N. Moorpark Rd., 101, Thousand Oaks, CA 91360-3168 | 2006-10-03 |
| 1013944800 | Douglas Williams | Nurse Practitioner | 333 Keen Street, Burkesville, KY 42717 | 2006-06-27 |
| 1821088659 | Douglas Robert Williams | Optometrist | 6042 Warner Ave, Huntington Beach, CA 92647-5568 | 2005-10-24 |
| 1821087396 | Douglas N Williams | Psychologist | 380 Union St, Suite 107, West Springfield, MA 01089-4123 | 2005-10-18 |
| 1528051208 | Douglas Paul Williams | Psychiatry & Neurology | 3183 W State St, Suite 1201, Bristol, TN 37620-1712 | 2005-08-26 |
| Street Address |
1516 W LAKE ST SUITE 103 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55408-2554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154327211 | Carol F. Siegel | Psychologist | 1516 W Lake St, Ste 214, Minneapolis, MN 55408-2554 | 2005-06-23 |
| 1154954857 | Christopher John Schiffer | Psychologist | 1516 W Lake St, Minneapolis, MN 55408-2554 | 2020-02-20 |
| 1811446024 | Mallory Obermire | Psychologist | 1516 W Lake St, Minneapolis, MN 55408-2554 | 2016-09-28 |
| 1407305923 | Mindy Dickson | Marriage & Family Therapist | 1516 W Lake St, Minneapolis, MN 55408-2554 | 2016-09-26 |
| 1437503158 | Alpha Service Industries Inc. | Marriage & Family Therapist | 1516 W Lake St, Suite 110, Minneapolis, MN 55408-2554 | 2016-04-19 |
| 1174916639 | Maija Swanson-seavey | Social Worker | 1516 W Lake St, Minneapolis, MN 55408-2554 | 2015-03-09 |
| 1437569159 | Angela Christine Newstrom | Counselor | 1516 W Lake St, Suite 110, Minneapolis, MN 55408-2554 | 2014-05-02 |
| 1811205123 | Loryn Kelly Follrath | Physical Therapist | 1516 W Lake St, Minneapolis, MN 55408-2554 | 2010-09-21 |
| 1740410760 | Brenda Marie Frye | Counselor | 1516 W Lake St, Suite 103, Minneapolis, MN 55408-2554 | 2009-07-24 |
| 1851590517 | Mary Margaret Oanes | Social Worker | 1516 W Lake St, Suite 103, Minneapolis, MN 55408-2554 | 2007-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1356962740 | Mohammad Mushtaq Khandwala | Student in an Organized Health Care Education/Training Program | 2810 Nicollet Avenue South, Minneapolis, MN 55408 | 2020-04-27 |
| 1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
| 1538710413 | Yuejuan Bian | Acupuncturist | 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 | 2019-09-23 |
| 1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
| 1417510165 | Kau Macador Queeglay | Counselor | 621 West Lake Street Suite 350 Lynlake Building, Minneapolis, MN 55408 | 2019-04-18 |
| 1346735875 | Nicole S Ehrenberg | Social Worker | 324 E 35th Street, Minneapolis, MN 55408 | 2018-06-27 |
| 1639681612 | American Family Transportation Inc | Non-emergency Medical Transport (VAN) | 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 | 2017-10-30 |
| 1285181743 | Multilingual Word Inc | Interpreter | 1431 W 32nd St, Minneapolis, MN 55408 | 2016-09-01 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| Find all providers in zip 55408 | ||||
| Taxonomy Code | 103TF0000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124541644 | Lisa Jennet Trump | Psychologist | 219 Se Main St Ste 400, Minneapolis, MN 55414-2151 | 2017-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627520 | Everest Psychological Services | Psychologist | 2233 Hamline Ave N Ste 500, Roseville, MN 55113-5003 | 2020-04-13 |
| 1629213541 | Chad Thomas Lorenz | Psychologist | 1772 Steiger Lake Ln Ste 220, Victoria, MN 55386-7723 | 2008-12-05 |
| 1871749036 | Meritcare 1219 | Psychologist | 1219 S Washington Ave, Detroit Lakes, MN 56501-3905 | 2008-08-07 |
| 1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
| 1184197634 | Tracee C Robinson Foote-adams | Psychologist | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431-1432 | 2019-01-08 |
| 1093221129 | Terri E Bly | Psychologist | 1150 Montreal Ave Ste 107, Saint Paul, MN 55116-2393 | 2017-12-27 |
| 1427299023 | Susan De Vries | Psychologist | 570 Asbury St, Suite 310, Saint Paul, MN 55104-1849 | 2009-03-12 |
| 1952579385 | Sheila Thomas, M.a.l.p., Pllc | Psychologist | 821 Raymond Ave, Suite 270, Saint Paul, MN 55114-1503 | 2008-02-19 |
| 1730360207 | Lisa Marie Johnson | Psychologist | 2550 University Ave W, Suite 310n, Saint Paul, MN 55114-1052 | 2007-11-26 |
| 1366623324 | Christopher J Basten | Psychologist | 1206 W 96th St, Bloomington, MN 55431-2606 | 2007-11-19 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55408 |
Please comment or provide details below to improve the information on MR. DOUGLAS CARLTON 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.