Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keith Lee Williams, PHD

Individual provider Clinical Psychologist · NPI 1174716005

Keith Lee Williams, PHD is a Clinical Psychologist in Boise, Idaho. Qualified in 2010, 16 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
16
Licensed in
ID
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3771 N Eagle Rd
Boise, ID 83713-5005
Phone: (208) 939-9917
Fax: (888) 505-3331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY-202563 (ID)

Record details

NPI number1174716005
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 23, 2007
Last updated in NPPESAugust 28, 2014
Mailing address3771 N Eagle Rd, Boise, ID 83713-5005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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