Active NPI
Eshawn Deshelle Williams, PSY.D.
- Clinical Psychologist
- Carson, CA
National Provider Identifier
1447537303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY24636
- Practice address
- 20620 Leapwood Ave Ste B
Carson, CA 90746-3678 - Phone
- (562) 290-7331
- NPI assigned
- Nov 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY24636 | CA | Primary |
Addresses
Primary practice location
20620 Leapwood Ave Ste B
Carson, CA 90746-3678
Mailing address
20620 S. Leapwood Ave. Suite B
Carson, CA 90746
Phone (562) 290-7331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY24636 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320624000000",
"number": "1447537303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20620 S. LEAPWOOD AVE. SUITE B",
"city": "CARSON",
"state": "CA",
"postal_code": "90746",
"telephone_number": "562-290-7331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20620 LEAPWOOD AVE STE B",
"city": "CARSON",
"state": "CA",
"postal_code": "907463678",
"telephone_number": "562-290-7331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ESHAWN",
"middle_name": "DESHELLE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-07",
"last_updated": "2011-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY24636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.