Seth S Williams PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2227 Issued in OR

Legal business name

SETH S WILLIAMS PSYD LLC

Practice address

14511 Westlake Dr
Suite 120
Lake Oswego, OR 97035-7783

Phone

(503) 752-0122

Fax

(508) 433-1871

NPI assigned

Oct 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Seth Saturn Williams, PSYDNPI 1851331599

Title

Owner

Phone

(503) 752-0122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

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

• Seth Saturn Williams, PSYD

  • Clinical Psychologist
  • Tigard, OR
  • NPI 1851331599
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1548710148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 SW MURRAY BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970084421",
            "telephone_number": "503-752-0122",
            "fax_number": "508-433-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14511 WESTLAKE DR",
            "address_2": "SUITE 120",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357783",
            "telephone_number": "503-752-0122",
            "fax_number": "508-433-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETH S WILLIAMS PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "SATURN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-752-0122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenaissance LLC
• Serendib Psychological Services, LLC
• Serenity Bodywork
• Ulyana V Seryankina, LMT
• Jeffrey David Sessions, D.M.D.
• Cameron Seymour
• Maha Sabah Shakir, M.D.
• Stephani Jene Shaver, LCSW
• Kandi Denise Shearer, M.S.
• Melinda Anne Shearer, DPT

• Clinical Psychologist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.