Jeffrey M Williamson PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JEFFREY M WILLIAMSON PHD LLC

Practice address

3700 N Harbor City Blvd Ste 1D
Melbourne, FL 32935-5764

Phone

(321) 610-4703

Fax

(321) 622-5948

NPI assigned

Apr 19, 2018

Organization subpart

No

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

Authorized official

Name

Jeffrey M Williamson, PHDNPI 1114038916

Title

Owner

Phone

(321) 610-4703

Specialties & licenses 1

Addresses

Other names 1

• Jeffrey M Williamson PHD LLC Doing business as

Locations

Practitioners 1

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

• Jeffrey Michael Williamson, PH D

  • Psychologist
  • Melbourne, FL
  • NPI 1114038916
  NPD Authorized official

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1083101570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N HARBOR CITY BLVD STE 1D",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355764",
            "telephone_number": "321-610-4703",
            "fax_number": "321-622-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N HARBOR CITY BLVD STE 1D",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355764",
            "telephone_number": "321-610-4703",
            "fax_number": "321-622-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M WILLIAMSON PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-610-4703",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey M Williamson PHD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Illyssa Jaraplasan, DMD
• Adwait H Jathal, M.D.
• Jay E. Olsson, D.O., P.a.
• Elizabeth Leigh Jefferson
• Shaila Jeffress
• Catherine Ann Jellie, P.T.A.
• Melissa Jenkins-Fernandez, PSYD
• Darryl Anthony Jenkins Jr.
• Jennifer Dolores Jenkins
• Elizabeth Evans Jenks

• Clinical Psychologist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.