Jonathan Vaughan Williams, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

94026065 Issued in CA

Practice address

3645 7TH Ave Unit 405
San Diego, CA 92103-4358

Phone

(619) 838-3944

NPI assigned

Jul 15, 2021

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1700458056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 7TH AVE UNIT 405",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034358",
            "telephone_number": "619-838-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 7TH AVE UNIT 405",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034358",
            "telephone_number": "619-838-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JONATHAN",
        "middle_name": "VAUGHAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "94026065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Williams, M.D.
• Jeffrey Kent Williams, M.D.
• Jennifer A Williams
• Jessica Cristina Williams, BSW
• Jessica Dawn Williams, SLP
• Joseph Williams
• June Williams
• Kaliya Williams, RN
• Karen Denise Williams
• Karl Eric Williams, PTA

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, 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 15, 2021; 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.