Susan L. Williams, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY7566 Issued in CA

Practice address

435 N Bedford Dr
Suite 309
Beverly Hills, CA 90210-4321

Phone

(310) 271-7885

Fax

(310) 271-7869

NPI assigned

Nov 19, 2011

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Susan L Williams PHD a Psychological Corporation

  • Psychologist
  • Beverly Hills, CA
  • NPI 1053504233
  NPD (past) Authorized official

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

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1811264880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N. BEDFORD DRIVE",
            "address_2": "SUITE 309",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104345",
            "telephone_number": "310-271-7885",
            "fax_number": "310-271-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR",
            "address_2": "SUITE 309",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104321",
            "telephone_number": "310-271-7885",
            "fax_number": "310-271-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SUSAN",
        "middle_name": "L.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-19",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Williams, M.A., ED.D
• Danielle Lashelle Williams, NP
• Eva Adanna Williams
• Gregory Vernon Williams, M.D.
• Leola W Williams
• Krystin Alexis Wills
• Wilshire Anesthesia Physicians Medical Group, Inc.
• Wilshire Crescent Heights Medical Center a Professional Corporation
• Wilshire Crescent Heights Medical Center a Professional Corporation
• Wilshire Institute for Interventional Psychiatry Inc

• All providers in Beverly Hills, CA
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.