Jessica Williamson
NPI 1689062754ActiveIndividual· Student in an Organized Health Care Education/Training Program· Culver City, CA
Student in an Organized Health Care Education/Training Program in Culver City, California, with an NPI issued in December 2014. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1689062754 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Dec 24, 2014 |
| Last updated in NPPES | Dec 24, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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All 283 Student in an Organized Health Care Education/Training Program providers in Culver City · All Student in an Organized Health Care Education/Training Program providers in California