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Dr. Miranda B Williams , PsyD

Psychologist β€’ Alpine, CA

Active NPI 1720003056 Individual Practitioner Female Practitioner
Practice location in NPPES

2271 Alpine Blvd Ste A
Alpine, CA 919011101

Call 6197336472 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2271 Alpine Blvd Ste A

Alpine, CA 919011101

Telephone 6197336472
Fax 6194480132
Organization at the Same NPPES Address or Phone
San Diego Therapy Center Inc. Facility NPI 1306117981

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in San Diego, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Dr. Williams as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Alpine and California

4 active clinicians are listed under Psychologist with a practice address in Alpine, CA (7,305 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-04
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES CA PSY19618

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.

Psychologist - Clinical Child & Adolescent

NUCC Taxonomy Code: 103TC2200X

License # reported to NPPES CA PSY 19618

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

7290 Navajo Rd Ste 105

San Diego, CA 92119

Phone: 6197336472

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Tyler Wright , MD

Psychiatry & Neurology - Psychiatry

NPI 1134660301

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 04, 2025

Registered at 2271 ALPINE BLVD STE A, ALPINE, CA 919011101 (Tel: 6197336472)

πŸ“
Updated Practice Location April 04, 2019

Registered at 7290 NAVAJO RD STE 105, SAN DIEGO, CA 92119 (Tel: 6197336472)

πŸ“
Updated Business Mailing Address April 04, 2019

Registered at 7290 NAVAJO RD STE 105, SAN DIEGO, CA 921191631 (Tel: 6197336472)

βœ…
NPI Profile Active April 17, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 17, 2015

Registered at 10765 WOODSIDE AVE, C, SANTEE, CA 920718103 (Tel: 6197336472)

πŸ“
Business Mailing Address (Initial Record) April 17, 2015

Registered at 10765 WOODSIDE AVE, C, SANTEE, CA 920718103 (Tel: 6197336472)

πŸ‘€
Provider Name / Credentials (Initial Record) April 17, 2015

Recorded as MIRANDA WILLIAMS, PSY.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2015

Psychologist (license number reported to NPPES: CA PSY 19618)

🟒
Initial NPI Registration & Enumeration July 13, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720003056
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2006
Last Update: June 04, 2025
Sole Proprietor: Yes

Mailing Address

7290 Navajo Rd Ste 105

San Diego, CA 921191631

Phone: 6197336472

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.