Jacqueline S Williams Psychologist Incorporated

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 18937 Issued in CA

Legal business name

JACQUELINE S WILLIAMS PSYCHOLOGIST INCORPORATED

Practice address

20720 Ventura Blvd
Ste 210
Woodland Hills, CA 91364-2306

Phone

(818) 224-3345

Fax

(818) 587-3353

NPI assigned

Sep 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline S Williams, PHD

Title

President

Phone

(818) 224-3345

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Michelle Schultz, PHD LP

  • Psychologist
  • Woodland Hills, CA
  • NPI 1376390724
  NPD
• Amanda Barnett, LCSW

  • Clinical Social Worker
  • Woodland Hills, CA
  • NPI 1427156561
  NPD (past)

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1174958797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20720 VENTURA BLVD",
            "address_2": "STE 210",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642306",
            "telephone_number": "818-224-3345",
            "fax_number": "818-587-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20720 VENTURA BLVD",
            "address_2": "STE 210",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642306",
            "telephone_number": "818-224-3345",
            "fax_number": "818-587-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE S WILLIAMS PSYCHOLOGIST INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-224-3345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 18937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaunta Lenae Jackson, SHAUNTA
• Tina Jackson
• Trinity Blue Jackson
• Nili Jacob
• Elizabeth Jacobo
• Jasmine Jafari, MD
• Robert James Jaffe, MD
• Svetlana Jahangard
• Nooshin Jahangiri
• Ann Jahns, RBT

• Clinical Psychologist in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.