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Dr. Jeffrey Michael Williamson , PhD

Psychologist β€’ Melbourne, FL

Active NPI 1114038916 Individual Practitioner Male Practitioner
Practice location in NPPES

3700 N Harbor City Blvd, Ste 1d
Melbourne, FL 329355764

Call 3216104703 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

3700 N Harbor City Blvd
Ste 1d

Melbourne, FL 329355764

Telephone 3216104703
Fax 3216225948
Organization at the Same NPPES Address or Phone
Jeffrey M Williamson Phd Llc Facility NPI 1083101570

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

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

Compared with the same specialty in Melbourne and Florida

29 active clinicians are listed under Psychologist with a practice address in Melbourne, FL (2,204 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Melbourne

10.3% of these 29 clinicians have the CMS telehealth indicator.

17.2% of these 29 clinicians are listed by CMS as accepting Medicare assignment.

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

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES FL PY0004728

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.

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: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location July 12, 2018

Registered at 3700 N HARBOR CITY BLVD, STE 1D, MELBOURNE, FL 329355764 (Tel: 3216104703)

πŸ“
Updated Business Mailing Address July 12, 2018

Registered at 3700 N HARBOR CITY BLVD, STE 1D, MELBOURNE, FL 329355764 (Tel: 3216104703)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 1209 ADMIRALTY BLVD, ROCKLEDGE, FL 32955 (Tel: 3214330728)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 1395 N COURTENAY PKWY, STE 203, MERRITT ISLAND, FL 329534400 (Tel: 3214591003)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as JEFFREY WILLIAMSON, PH D

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (license number reported to NPPES: FL PY0004728)

🟒
Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114038916
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: July 12, 2018
Sole Proprietor: Yes

Other Psychologists in Melbourne

All Psychologists in Melbourne

Mailing Address

3700 N Harbor City Blvd, Ste 1d

Melbourne, FL 329355764

Phone: 3216104703

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.