DAVID M WILLIAMS (PSY.D.) – Psychologist, NPI 1063591394

DAVID M WILLIAMS (PSY.D.) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 2282-057 (WI). The NPI Number for DAVID M WILLIAMS (PSY.D.) is 1063591394

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DAVID M WILLIAMS (PSY.D.)
NPI
1063591394
Phone
(414) 774-1794
Address
9720 W BLUEMOUND RD
Enumeration Date
6 November 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4147741794
Graduation Year
1999 (27 years ago)
PAC ID
2062518475
Group Practice PAC ID
7517937964
Professional Enrollment ID
I20070501000674
Address ID
WI532264331MI10424RDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in WI

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Provider Addresses for DAVID M WILLIAMS (PSY.D.)

  • West Bluemound Road, Story Hill, Milwaukee, Milwaukee County, Wisconsin, 53208-3061, United States

    MILWAUKEE, WI 532264454

    Phone: (414) 774-1794

    Type: Location

  • W276N2792, Trillium Lane, Rocky Point, Edgewood, City of Pewaukee, Waukesha County, Wisconsin, 53072, United States

    PEWAUKEE, WI 530724378

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070501000674IClinical PsychologistWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour12015$0
View full utilization report →

Insurance plans in this area (ZIP 53226)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517937964View full group profile
NameSpecialtyState
Mental Health CounselorWI
Nurse PractitionerWI
Mental Health CounselorWI
Mental Health CounselorWI
Clinical Social WorkerWI
P S Y C H I A T R YWI
Clinical PsychologistWI
-WI
Nurse PractitionerWI
Clinical Social WorkerWI

Reviews

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Frequently asked questions

Can I cross-check DAVID M WILLIAMS (PSY.D.) using NPI 1063591394?
NPI 1063591394 belongs to DAVID M WILLIAMS (PSY.D.); compare other details if you need extra assurance.
Is DAVID M WILLIAMS (PSY.D.) still an active registrant?
DAVID M WILLIAMS (PSY.D.) carries an active NPI according to the public dataset.
What kind of doctor is DAVID M WILLIAMS (PSY.D.)?
DAVID M WILLIAMS (PSY.D.) is associated with Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Where in Wisconsin is DAVID M WILLIAMS (PSY.D.) registered?
Use Milwaukee, Wisconsin as the headline location for DAVID M WILLIAMS (PSY.D.) here.
When was this NPI issued?
Enumeration for DAVID M WILLIAMS (PSY.D.) is noted as November 6, 2006 where the registry provides it.

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