DR. CHARLES AVERY WILLIAMS


Address: 5909 W 3rd St, Los Angeles, CA 90036-2828
Phone: 2134359423

DR. CHARLES AVERY WILLIAMS (NPI# 1366875320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366875320
Entity Type Individual
Full Name DR. CHARLES AVERY WILLIAMS
Credential PSYD
Practice Address 5909 W 3rd St
Los Angeles
CA 90036-2828
Mailing Address 1500 S Doheny Dr
Los Angeles
CA 90035-3211
Practice Telephone 2134359423
Mailing Telephone 2134359423
Enumeration Date 2013-08-14
Last Update Date 2016-12-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY27565 CA Behavioral Health & Social Service Providers

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Office Location

Street Address 5909 W 3RD ST
City LOS ANGELES
State CA
Zip Code 90036-2828

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140198 Stephanie N Carter Dietitian, Registered 460 Burnside Ave, Apt 8k, Los Angeles, CA 90036 2020-06-26
1609492107 Katherine Niemela Registered Nurse 5619 W 4th St, Suite 5, Los Angeles, CA 90036 2020-06-19
1508384330 Matthew Milstein Psychologist 5675 West Olympic Blvd., Los Angeles, CA 90036 2017-08-31
1912423963 John Allen Ostlund Counselor 5675 W. Olympic Blvd, Los Angeles, CA 90036 2017-08-21
1306376629 Scott William Wilson Case Manager/Care Coordinator 1891 N. Gaffey Street Suite 219 & 221, San Pedro, CA 90036 2017-06-19
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1134577281 Parul A Desai Registered Nurse 5800 Wilshire Blvd, Los Angeles, CA 90036 2016-05-31
1477914604 Sarah Frank Jarvis Marriage & Family Therapist 7421 Beverly Blvd Ste 2, Los Angeles, CA 90036 2016-03-16
1558747162 Paul Oberon, Psy.d, Inc. Community/Behavioral Health 7421 Beverly Blvd., #10, Los Angeles, CA 90036 2015-08-05
1235543117 Benjamin Maixner Behavioral Analyst 441 1/2 N Curson Ave, Los Angeles, CA 90036 2014-06-18
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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1164911418 William James Coburn Psychologist 12011 San Vicente Blvd Ste 300, Los Angeles, CA 90049-4945 2018-05-02
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Competitor

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City LOS ANGELES
Zip Code 90036

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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