Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205150794 Individual Practitioner Male Practitioner

Dr. Matthew Benjamin Williams , PhD

Psychologist • Marietta, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Williams, PhD is a certified Psychologist practicing in Marietta, GA. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Williams delivers high-quality medical care to the local community at 1640 POWERS FERRY RD SE STE 100.

Dr. Williams is affiliated with Personal Recovery Network Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1640 Powers Ferry Rd Se Ste 100

Marietta, GA 300675491

Telephone 7709530080
Fax 7709530031
Associated Practice Facility / Clinic
🏢 Pvc Georgia Llc Facility NPI 1447130224

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Marietta, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs -2.9 yrs vs City Avg
City Avg: 17.9 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
44 Specialists

Practicing in Marietta, GA (941 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Williams (15 Years) 15 Yrs
Marietta Specialty Average (17.9 Years) 17.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-11-06
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License GA PSY004293

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License CA PSY27584

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1205150794 (CA)

Hospital & Practice Group Affiliations

Personal Recovery Network Llc

1899 Powers Ferry Rd Se, Atlanta, GA 303398411

Phone: 6788310608

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Neta Weber , MS, LAPC, NCC

Counselor - Mental Health

NPI 1245784842

Master of Science, LAPC, National Certified Counselor

Dr. Tara Williams , PhD

Psychologist - Clinical

NPI 1255492187

Doctor of Philosophy (Ph.D.)

Kathryn Raskin , MA, LPC

Counselor - Professional

NPI 1255762472

Master of Arts, Licensed Professional Counselor

Mary Pecunia , MS, EDS, LPC

Counselor - Professional

NPI 1265521132

Master of Science, EDS, Licensed Professional Counselor

Christy Clark , MAED

Counselor - Mental Health

NPI 1326136995
NPI 1376945725

Master of Science, Licensed Professional Counselor, National Certified Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location November 30, 2021

Registered at 1640 POWERS FERRY RD SE STE 100, MARIETTA, GA 300675491 (Tel: 7709530080)

📍
Updated Business Mailing Address November 30, 2021

Registered at 1640 POWERS FERRY RD SE STE 100, MARIETTA, GA 300675491 (Tel: 7709530080)

NPI Profile Active September 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2017

Registered at 13193 CENTRAL AVE, STE 200, CHINO, CA 91786 (Tel: 9099029111)

📍
Updated Business Mailing Address September 12, 2017

Registered at 1950 S. SUNWEST LANE,, SUITE 200, SAN BERNARDINO, CA 924150019 (Tel: (626) 683-3987)

👤
Provider Name / Credentials Updated September 12, 2017

Recorded as MATTHEW WILLIAMS, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2017

Psychologist (License #PSY27584 in CA)

NPI Profile Active January 14, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2011

Registered at 1330 E COOLEY DR, COLTON, CA 923243905 (Tel: 9098543430)

📍
Updated Business Mailing Address January 14, 2011

Registered at 1950 S. SUNWEST LANE,, SUITE 200, SAN BERNARDINO, CA 924150019 (Tel: 6266833987)

👤
Provider Name / Credentials Updated January 14, 2011

Recorded as MATTHEW WILLIAMS, M.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2011

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 26, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205150794
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2010
Last Update: November 30, 2021
Sole Proprietor: No

Mailing Address

1640 Powers Ferry Rd Se Ste 100

Marietta, GA 300675491

Phone: 7709530080

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.