MR. MATTHEW BENJAMIN WILLIAMS (NPI# 1205150794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205150794 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW BENJAMIN WILLIAMS |
| Other Name | MR. MATT BENJAMIN WILLIAMS |
| Credential | PH.D. |
| Practice Address |
13193 Central Ave Ste 200 Chino CA 91786 |
| Mailing Address |
1950 S. Sunwest Lane Suite 200 San Bernardino CA 92415-0019 |
| Practice Telephone | 9099029111 |
| Practice Fax Number | 9909029199 |
| Mailing Telephone | (626) 683-3987 |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY27584 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1205150794 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1330 E Cooley Dr, Colton, CA 923243905 | 9098543430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392643 | Matthew Thomas Williams | Physician Assistant | Adventist Health Hanford, 115 Mall Dr., Hanford, CA 93230 | 2020-10-05 |
| 1720646540 | Matthew Dillion Williams | Clinic/Center | 963 Saint Christopher Ln, New Madrid, MO 63869-1022 | 2019-06-05 |
| 1417511239 | Matthew Chase Williams | Registered Nurse | 12378 Strong Heart Trl, Arlington, TN 38002-4063 | 2019-04-26 |
| 1487124608 | Matthew Williams | Specialist/Technologist | 1880 Wyndham Hill Dr, Hastings, MN 55033-8590 | 2018-11-30 |
| 1598255598 | Matthew Anthony Williams | Registered Nurse | 746 Township Road 276 N, South Point, OH 45680-8936 | 2018-05-15 |
| 1366946774 | Matthew J Williams | Massage Therapist | 142 E Jefferson St, Bluffton, OH 45817-1330 | 2018-03-20 |
| 1164966305 | Matthew Z Williams | Student in an Organized Health Care Education/Training Program | 2101 S Ocean Dr, Apt 1604, Hollywood, FL 33019-2529 | 2016-12-07 |
| 1578005716 | Matthew Brent Williams | Physical Therapist | 321 S 3rd St Ste B, Danville, KY 40422-2090 | 2016-11-04 |
| 1790198950 | Matthew R Williams | Audiologist | 1323 West Hunter St., Logan, OH 43138 | 2014-06-05 |
| 1215364690 | Matthew Gregory Williams | Specialist/Technologist | 5201 Mid America Plz Ste 2600, Saint Louis, MO 63129-0002 | 2013-10-01 |
| Street Address |
13193 CENTRAL AVE STE 200 |
| City | CHINO |
| State | CA |
| Zip Code | 91786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285633867 | James M Lally | Family Medicine | 13193 Central Ave, Ste. 100, Chino, CA 91710-4179 | 2005-07-18 |
| 1730794694 | Adriane Denise Burns | Nurse Practitioner | 13193 Central Ave, Chino, CA 91710-4179 | 2020-09-08 |
| 1043834658 | Hye Kyung Jeon Chase | Registered Nurse | 13193 Central Ave, Chino, CA 91710-4179 | 2020-05-31 |
| 1801307368 | Health Service Alliance | Psychologist | 13193 Central Ave, Chino, CA 91710-4179 | 2017-10-23 |
| 1316353865 | Jason Mathews | Family Medicine | 13193 Central Ave, Chino, CA 91710-4179 | 2014-07-05 |
| 1609296433 | Daniel Park | Family Medicine | 13193 Central Ave, Chino, CA 91710-4179 | 2014-04-20 |
| 1205262466 | Sana Khan | Family Medicine | 13193 Central Ave, Ste 100, Chino, CA 91710-4179 | 2013-09-19 |
| 1134569775 | Janna Kay Brennan-lynch | Registered Nurse | 13193 Central Ave, Suite 220, Chino, CA 91710-4179 | 2013-06-27 |
| 1073869392 | Marcelino Dellopac Latina | Pediatrics | 13193 Central Ave, Suite 100, Chino, CA 91710-4179 | 2012-07-24 |
| 1821373978 | Chino Valley Orthopedic Center Inc | Orthopaedic Surgery | 13193 Central Ave, Suite 100, Chino, CA 91710-4179 | 2011-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710257084 | Jeffrey Craig Scott | Psychologist | Correctional Institute for Men Chino Ave, Chino, CA 91710 | 2012-01-04 |
| 1396812913 | David Morris Steinberger | Psychologist | 12530 10th Street, Suite C, Chino, CA 91710-3520 | 2006-11-29 |
| 1063445716 | Theresa Marie Darrington | Psychologist | 4091 Riverside Dr, Ste 117, Chino, CA 91710-6502 | 2006-07-08 |
| 1255313805 | Tracey Lynne Shepherd | Psychologist | 13193 Central Avenue, Suite 200, Chino, CA 91710 | 2005-11-18 |
| 1801307368 | Health Service Alliance | Psychologist | 13193 Central Ave, Chino, CA 91710-4179 | 2017-10-23 |
| 1437604667 | Brandon Yip | Psychologist | 14901 Central Ave, Chino, CA 91710-9500 | 2016-08-17 |
| 1932500295 | Debra Cacianti | Psychologist | 14901 Central Ave, Chino, CA 91710-9500 | 2014-09-05 |
| 1801297122 | David Kondo | Psychologist | 14901 Central Ave, Chino, CA 91710-9500 | 2014-09-05 |
| 1619387313 | Christina Maria Fetcho | Psychologist | 14901 Central Ave, Chino, CA 91710-9500 | 2014-05-02 |
| 1205251923 | Patricia Fernandez | Psychologist | 14901 Central Ave, Chino, CA 91710-9500 | 2014-03-04 |
| Find all providers in CHINO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.