Individual provider Active NPI

Jonnie Reinhold Williams, PSY.D.

  • Psychologist
  • Santa Barbara, CA
National Provider Identifier
1912281635
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
30219 Issued in CA
Practice address
4141 State St Ste B11
Santa Barbara, CA 93110-1898
Phone
(805) 681-7356
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 30219 CA Primary
Psychologist 103T00000X 2012755 CA

Addresses

Primary practice location

4141 State St Ste B11
Santa Barbara, CA 93110-1898

Mailing address

4141 State St Ste B11
Santa Barbara, CA 93110-1898
Phone (805) 681-7356

Other practice location 1

4141 State St Ste A1
Santa Barbara, CA 93110-1850
Phone (805) 681-7356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012755CAMDPsychologist
30219CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
American Indian Health & Services Corporation CurrentSince Jun 12, 2023 Accepting new patients
American Indian Health and Services Past Accepting new patients
American Indian Health & Services Corporation PastSince Dec 15, 2019 Accepting new patients

Locations

4141 State St
Ste A1
Santa Barbara, CA 93110
Phone (805) 681-7144

4141 State St
Ste B2
Santa Barbara, CA 93110
Phone (805) 681-7144

4141 State St
Ste B11
Santa Barbara, CA 93110
Phone 8056817144 ext. 216

Interoperability endpoints

  • Direct secure messaging: jonnie.williams.p1@direct.aihs.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1912281635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 STATE ST STE B11",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101898",
            "telephone_number": "805-681-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 STATE ST STE B11",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101898",
            "telephone_number": "805-681-7356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4141 State St Ste A1",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931101850",
            "country_code": "US",
            "telephone_number": "805-681-7356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JONNIE",
        "middle_name": "REINHOLD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "30219",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "2012755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.