Justine Kyckelhahn Crawford Williams, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1592 Issued in OR

Practice address

425 2ND St Ste 200
Lake Oswego, OR 97034-3139

Phone

(971) 212-2696

Fax

(503) 588-9424

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1053445262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 2ND ST STE 200",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343139",
            "telephone_number": "971-212-2696",
            "fax_number": "503-588-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 2ND ST STE 200",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343139",
            "telephone_number": "971-212-2696",
            "fax_number": "503-588-9424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2493 State St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973014543",
            "country_code": "US",
            "telephone_number": "503-588-1010 x7",
            "fax_number": "503-588-9424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JUSTINE",
        "middle_name": "KYCKELHAHN CRAWFORD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Wilhelm, N.D.
• Amy N Wilken
• Denise Marie Wilkinson, MSPT
• Meaghan Wilkinson
• Joel Benjamin Williams, PT
• Justyne Williams
• Krystal Williams
• Jeffrey Austin Williamson, D.D.S.
• Kaitlyn Patricia Wilson, SLPA
• Kenneth Byron Wiltbank, D.M.D.

• Clinical Psychologist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.