Active NPI
Lakisha Shantell Williams, PSY.D.
- Prescribing (Medical) Psychologist
- Lake Charles, LA
National Provider Identifier
1861627465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- MP.0018
- Practice address
- 1409 Kirkman St
Lake Charles, LA 70601-5344 - Phone
- (337) 419-3586
- NPI assigned
- May 26, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | MP.0018 | LA | Primary |
Addresses
Primary practice location
1409 Kirkman St
Lake Charles, LA 70601-5344
Mailing address
1409 Kirkman St
Lake Charles, LA 70601-5344
Phone (337) 419-3586
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MP.0018 | LA | MD | Prescribing (Medical) Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1861627465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 KIRKMAN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015344",
"telephone_number": "337-419-3586",
"fax_number": "855-239-9737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 KIRKMAN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015344",
"telephone_number": "337-419-3586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LAKISHA",
"middle_name": "SHANTELL",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-26",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "LA",
"license": "MP.0018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.