Active NPI
Jody Steele Williams, PSY.D.
- Psychologist
- Dover, DE
National Provider Identifier
1962400093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- B1-0000647
- Practice address
- 884 Walker Rd
Suite 5C
Dover, DE 19904-2758 - Phone
- (302) 674-2199
- Fax
- (302) 734-7780
- NPI assigned
- Jul 12, 2005
- Reactivated
- Mar 29, 2006
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | B1-0000647 | DE | Primary |
Addresses
Primary practice location
884 Walker Rd
Suite 5C
Dover, DE 19904-2758
Mailing address
884 Walker Rd
Suite 5C
Dover, DE 19904-2758
Phone (302) 674-2199
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000022335 | Medicaid | DE | |
| 1000022509 | Medicaid | DE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Didden, LCSW, LLC | Past | Accepting new patients | |
| Beth a Canalichio LCSW LTD | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Insights
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- Dover, DE
- NPI 1295967073
-
- Adult Mental Health Clinic/Center
- Dover, DE
- NPI 1548539497
-
- Clinical Social Worker
- Dover, DE
- NPI 1831279843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1962400093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "884 WALKER RD",
"address_2": "SUITE 5C",
"city": "DOVER",
"state": "DE",
"postal_code": "199042758",
"telephone_number": "302-674-2199",
"fax_number": "302-734-7780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "884 WALKER RD",
"address_2": "SUITE 5C",
"city": "DOVER",
"state": "DE",
"postal_code": "199042758",
"telephone_number": "302-674-2199",
"fax_number": "302-734-7780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JODY",
"middle_name": "STEELE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2007-07-09",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DE",
"license": "B1-0000647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000022335",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000022509",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.