DR. JORDAN CHASE WILLIAMS


Address: 2200 Fort Roots Dr, North Little Rock, AR 72114-1709
Phone: 5012571000

DR. JORDAN CHASE WILLIAMS (NPI# 1962055731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962055731
Entity Type Individual
Full Name DR. JORDAN CHASE WILLIAMS
Credential PHD
Practice Address 2200 Fort Roots Dr
North Little Rock
AR 72114-1709
Mailing Address 715 Sherman St Apt 2
Little Rock
AR 72202-2684
Practice Telephone 5012571000
Mailing Telephone 5023148228
Enumeration Date 2019-07-22
Last Update Date 2019-07-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

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1831701093 Jordan Leigh Williams Registered Nurse 6901 E Chauncey Ln Apt 3169, Phoenix, AZ 85054-5146 2020-08-19
1023643541 Jordan Williams Specialist/Technologist 11580 Magnolia Ave, Riverside, CA 92505-7737 2020-03-04
1093356339 Jordan Williams Social Worker 1503 Liatris Ln, North Pole, AK 99705-5082 2019-10-07
1629480512 Jordan C Williams Physical Therapist 460 N Switzer Canyon Dr Ste 400, Flagstaff, AZ 86001-4851 2014-05-27
1689271496 Jordan Alexandria Williams Behavior Technician 3800 Camp Creek Pkwy Sw Ste 100, Atlanta, GA 30331-6247 2020-10-05
1689294274 Jordan Williams Pharmacist 5000 W Chambers St, Milwaukee, WI 53210-1650 2020-04-23
1639707334 Jordan Williams Student in an Organized Health Care Education/Training Program 1802 E 19th St, Tulsa, OK 74104-5403 2020-03-29
1962063016 Jordan Kazuo Williams Physician Assistant 555 N Arlington Ave, Reno, NV 89503-4723 2019-06-27
1063988343 Jordan Williams Physician Assistant 975 Ryland St Ste 100, Reno, NV 89502-1669 2018-10-15
1225513419 Jordan L Williams Behavioral Analyst 6021 244th St Sw Ste 400, Mountlake Terrace, WA 98043-5426 2018-10-03

Office Location

Street Address 2200 FORT ROOTS DR
City NORTH LITTLE ROCK
State AR
Zip Code 72114-1709

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750388401 Ivy V Mcgee Family Medicine 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 2005-07-07
1477161586 Kaila Mitchell Psychologist 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 2020-07-15
1689200040 Tonie Brenee' Williams Social Worker 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 2020-03-18
1447899646 Eugenia Boozer Clinical Neuropsychologist 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 2020-01-06
1376181263 Linda Shrader Technician 2200 Fort Roots Dr, North Little Rock, AR 72114 2019-12-11
1205470507 Julie Renee Thyberg Technician 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 2019-10-30
1588215966 Venius Vernester Russell Technician 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 2019-09-26
1538718119 Mary Kathryn Martin Technician 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 2019-09-06
1689223596 Meriline White Technician 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 2019-09-04
1124677943 Felicia Clayton Technician 2200 Fort Roots Dr, North Little Rock, AR 72114 2019-09-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316432966 Mid State Counseling and Recovery Service Clinic/Center 1920 Main St Ste 229, North Little Rock, AR 72114 2018-06-26
1053826842 Kelli Lauron Johnson Nurse Practitioner 2800 North Willow Street, North Little Rock, AR 72114 2017-12-03
1689117756 State of Arkansas Skilled Nursing Facility 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 2016-11-22
1366787459 J Andrew Mccullough Counselor 628 W Broadway St Ste 300, North Little Rock, AR 72114 2012-11-30
1598071490 Roger Elliott Hicks IIi Counselor 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 2010-08-30
1740594456 Tuyet Thi Van Dentist 520 W. Pershing Blvd., North Little Rock, AR 72114 2010-08-05
1467764183 Jennifer Leigh Nash Behavioral Analyst 628 W Broadway St Ste 100, North Little Rock, AR 72114 2010-07-10
1336398544 Tina A Davie Registered Nurse 2200 Foot Roots Drive, Little Rock, AR 72114 2008-09-11
1316125313 Centers for Youth & Families Community/Behavioral Health 200 W. 20th, North Little Rock, AR 72114 2008-02-01
1881878064 Marie A Graham Nurse Practitioner 636 West Broadway St, No Little Rock, AR 72114 2007-12-24
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427512128 Tiffany Marie Wierzbicki Psychologist 4004 Mccain Blvd Ste 203, North Little Rock, AR 72116-8057 2019-01-27
1063428365 Geraldene E Moore Psychologist 3805 Mccain Park Drive, Suite 116, North Little Rock, AR 72116-7813 2006-07-31
1477161586 Kaila Mitchell Psychologist 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 2020-07-15
1073137253 Kimberly Ann Callaway Gentry Psychologist 4004 Mccain Blvd Ste 203, North Little Rock, AR 72116-8057 2020-06-03
1518512870 Jessica S. Bryant Psychologist 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 2019-08-05
1356902779 Alexis Leshae Elmore Psychologist 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 2019-06-26
1093376881 Arielle Rebekah Askren Marston Psychologist 2200 Fort Roots Dr Bldg 170, North Little Rock, AR 72114-1709 2019-06-24
1962993105 Aline Elizabeth Rabalais Psychologist 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 2018-05-23
1518414010 Jessica Domino Psychologist 2200 Fort Roots Dr # 116b, North Little Rock, AR 72114-1709 2016-09-01
1508139502 Angela Maura Sailey Psychologist 4701 Fairway Ave, North Little Rock, AR 72116-8066 2012-02-22
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Competitor

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City NORTH LITTLE ROCK
Zip Code 72114

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Dataset Information

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.

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