The Psychotherapy Office of Dr Kelly a Williams LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

THE PSYCHOTHERAPY OFFICE OF DR KELLY A WILLIAMS LLC

Practice address

15300 Ventura Blvd Ste 324
Sherman Oaks, CA 91403-5864

Phone

(818) 928-5165

NPI assigned

Apr 27, 2021

Organization subpart

No

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

Authorized official

Name

Kelly Williams, PSY.D., LMFTNPI 1770880189

Title

Owner

Phone

(818) 928-5165

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Alisha Williams, PSY.D., LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1770880189
  NPD Authorized official
• Sarah Jane Martinez

  • Student in an Organized Health Care Education/Training Program
  • Costa Mesa, CA
  • NPI 1275103905

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1053993279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 VENTURA BLVD STE 324",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035864",
            "telephone_number": "818-928-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 VENTURA BLVD STE 324",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035864",
            "telephone_number": "818-928-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PSYCHOTHERAPY OFFICE OF DR KELLY A WILLIAMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-928-5165",
        "authorized_official_credential": "PSY.D., LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.SIMPLEPRACTICE.COM",
            "affiliation": "N",
            "address_1": "15300 Ventura Blvd Ste 324",
            "city": "Sherman Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914035864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Marriage & Family Therapist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.