Active NPI
Danett Williams, LEP
- Psychologist
- Redwood City, CA
National Provider Identifier
1710564471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- SS1950
- Practice address
- 165 Arch St
Redwood City, CA 94062-1303 - Phone
- (415) 802-5588
- NPI assigned
- Mar 26, 2021
- Last updated
- Jun 30, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SS1950 | FL | MD | Psychologist |
| 4112 | CA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychologist
- Miami, FL
- NPI 1427503507
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.