Individual provider Active NPI

Joshua J Williams, PSY.D.

  • Clinical Psychologist
  • Westlake Village, CA
National Provider Identifier
1285863613
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY25169 Issued in CA
Practice address
31194 La Baya Dr Ste 100
Westlake Village, CA 91362-6420
Phone
(805) 242-2429
Fax
(310) 870-7197
NPI assigned
Jul 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY25169 CA Primary

Addresses

Primary practice location

31194 La Baya Dr Ste 100
Westlake Village, CA 91362-6420

Mailing address

31194 La Baya Dr Ste 100
Westlake Village, CA 91362-6420
Phone (805) 242-2429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121022000421 CA Practitioner - Clinical Psychologist 8820248271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Coast Psychology Group IncGroup PAC ID 9335410729, 25 clinicians

Practice addresses (Care Compare)

4900 California Ave
Bakersfield, CA 93309-7024
Phone (805) 242-2429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY25169CAMDClinical Psychologist
25169CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychology Group, Inc. Psychologist CurrentSince Dec 1, 2017 Accepting new patients
Brian Wu MD PHD Inc PastSince Jul 1, 2021 Accepting new patients

Locations

1611 Height St
Bakersfield, CA 93305
Phone (661) 748-1300

4900 California Ave
Fl 2
Bakersfield, CA 93309
Phone (510) 722-5630

31194 La Baya Dr
Ste 100
Westlake Village, CA 91362
Phone (805) 242-2429

31356 Via Colinas
Ste 114
Westlake Village, CA 91362
Phone (805) 622-7778

1014 S Westlake Blvd
Ste 14243
Westlake Vlg, CA 91361

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1285863613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31194 LA BAYA DR STE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626420",
            "telephone_number": "805-242-2429",
            "fax_number": "310-870-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31194 LA BAYA DR STE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626420",
            "telephone_number": "805-242-2429",
            "fax_number": "310-870-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOSHUA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.