Individual provider Active NPI

Danett Williams, LEP

  • Psychologist
  • Redwood City, CA
National Provider Identifier
1710564471
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
SS1950 Issued in FL
Practice address
165 Arch St
Redwood City, CA 94062-1303
Phone
(415) 802-5588
NPI assigned
Mar 26, 2021
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 4112 CA
Psychologist 103T00000X SS1950 FL Primary
Psychologist 103T00000X 4112 CA

Addresses

Primary practice location

165 Arch St
Redwood City, CA 94062-1303

Mailing address

1314 22ND Ave Unit 22284
San Francisco, CA 94122-1659
Phone (559) 312-3997

Other practice location 1

983 E Buckhill Rd
Fresno, CA 93720-0771
Phone (650) 516-6028

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SS1950FLMDPsychologist
4112CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Academic, Behavioral, and Cognitive Testing Services LLC Psychologist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1710564471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 22ND AVE UNIT 22284",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221659",
            "telephone_number": "559-312-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 ARCH ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621303",
            "telephone_number": "415-802-5588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "983 E Buckhill Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937200771",
            "country_code": "US",
            "telephone_number": "650-516-6028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANETT",
        "credential": "LEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "4112",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "SS1950",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "4112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.