Kendra Williby, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY35470 Issued in CA

Practice address

15030 Ventura Blvd Ste 11-282
Sherman Oaks, CA 91403-5470

Phone

(206) 802-8424

NPI assigned

Dec 26, 2024

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

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

Specialty

Clinical Psychologist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Sud Specialty Group - Ca

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238
  Medicare reassignment

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1306654090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15030 VENTURA BLVD STE 11-282",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035470",
            "telephone_number": "206-802-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15030 VENTURA BLVD STE 11-282",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035470",
            "telephone_number": "206-802-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIBY",
        "first_name": "KENDRA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-26",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY35470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Bailey Williams
• Teresa Williams
• Terrell Lamar Williams
• Lynnea Patrice Williamson
• Megan Marsh Williamson
• Bailey Wilson
• Dawnae Wilson, MSW
• Jennifer June Villegas Wilson
• Mikaila Wilson
• Stephanie Wilson, DC

• Clinical Psychologist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.