ELLEN WILLIAMS PH.D.
NPI 1245242049
Psychologist - Cognitive & Behavioral in Jacksonville, FL

Q: What is Ellen Williams's NPI number?

The NPI number for Ellen Williams is 1245242049. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Q: What is Ellen Williams's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Williams was last updated on September 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 12, 2006PECOS Enrolled

4160 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 376-3800(904) 396-8966 Get Directions Write a Review

NPPES record last updated: September 16, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ellen Williams Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN WILLIAMS PH.D. (NPI 1245242049) is an individual cognitive & behavioral provider in Jacksonville, Florida, licensed in Florida (PY7038) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245242049

Entity TypeIndividualFemale

Primary Taxonomy103TB0200X

Provider Legal NameELLEN WILLIAMSCredential: PH.D.

Location Address4160 UNIVERSITY BLVD SJacksonville, FL 32216-4317

Mailing Address4160 University Blvd SJacksonville, FL 32216-4317 · (904) 376-3800 · Fax (904) 396-8966

Phone(904) 376-3800

Fax(904) 396-8966

Sole ProprietorNo

Enumeration DateAugust 12, 2006

Last NPPES UpdateSeptember 16, 2014

✔ NPI 1245242049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

License✔ Licensed in FL · PY7038

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

4160 UNIVERSITY BLVD S, Jacksonville, FL 32216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Williams Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUNE SILAS LATNEY LCSW

Counselor (Mental Health)