MICHEAL WILLIAMS JR. MA, CCC-SLP
NPI 1417302605
Speech-Language Pathologist in Encino, CA

Q: What is Micheal Williams's NPI number?

The NPI number for Micheal Williams is 1417302605. It was assigned to this individual provider in the NPPES registry on April 26, 2016.

Q: What is Micheal Williams's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Micheal Williams was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 26, 2016Accepts Medicare Assignment

15928 VENTURA BLVD STE 218, ENCINO, CA 91436(818) 518-9709(747) 230-8320 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Micheal Williams Jr. Ma, Ccc-slp NPPES

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

MICHEAL WILLIAMS JR. MA, CCC-SLP (NPI 1417302605) is an individual speech-language pathologist provider in Encino, California, licensed in California (SP 21091) and active in the NPI registry since April 2016. He is a graduate of Other (2012).

NPPES Registry Identity

NPI1417302605

Entity TypeIndividualMale

Primary Taxonomy235Z00000X

Provider Legal NameMICHEAL WILLIAMS JR.Credential: MA, CCC-SLP

Location Address15928 VENTURA BLVD STE 218Encino, CA 91436-4413

Mailing Address15928 Ventura Blvd Ste 218Encino, CA 91436-4413 · (818) 518-9709 · Fax (747) 230-8320

Phone(818) 518-9709

Fax(747) 230-8320

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 26, 2016

Last NPPES UpdateJanuary 15, 2021

NPPES CertifiedJanuary 15, 2021

✔ NPI 1417302605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · SP 21091

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

15928 VENTURA BLVD STE 218, Encino, CA 91436

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Micheal Williams Jr. Ma, Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507158862

PECOS Enrollment IDI20231025002076

Other Providers at the Same Location NPPES 8

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

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