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Deactivated NPI 1962400093 Deactivated / Inactive NPI Female Practitioner

Dr. Jody Steele Williams , PsyD

Psychologist • Dover, DE

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jody Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 12, 2005
NPI Deactivation Date March 16, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Jody Williams, PsyD was a registered Psychologist practicing in Dover, DE. Throughout an active medical career spanning 1 years, Dr. Williams provided care at the practice location at 884 WALKER RD until profile deactivation on 2006-03-16.

Practice Location & Contact Primary Location

Practice Address

884 Walker Rd
Suite 5c

Dover, DE 199042758

Telephone 3026742199
Fax 3027347780
Associated Practice Facility / Clinic
🏢 Beth A Canalichio Lcsw Ltd Facility NPI 1831279843

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Dover, DE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Dover, DE (157 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License DE B1-0000647

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1000022509 (DE)
Medicaid State Provider ID
1000022335 (DE)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Leonard Dostillio , PsyD

Psychologist - Clinical

NPI 1023169497

Doctor of Psychology (Psy.D.)

NPI 1053620062

Doctor of Psychology (Psy.D.)

Beth Canalichio , LCSW

Social Worker - Clinical

NPI 1164769741

Licensed Clinical Social Worker

Amy Didden , LCSW

Social Worker - Clinical

NPI 1295025849

Licensed Clinical Social Worker

Christina Eilers , LCSW

Counselor - Mental Health

NPI 1295821726

Licensed Clinical Social Worker

NPI 1346575909

MSCC, Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location July 09, 2007

Registered at 884 WALKER RD, SUITE 5C, DOVER, DE 199042758 (Tel: 3026742199)

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Updated Business Mailing Address July 09, 2007

Registered at 884 WALKER RD, SUITE 5C, DOVER, DE 199042758 (Tel: 3026742199)

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Provider Name / Credentials Updated July 09, 2007

Recorded as JODY WILLIAMS, PSY.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Psychologist (License #B1-0000647 in DE)

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NPI Profile Reactivated March 29, 2006

Record officially reactivated for active practice on March 29, 2006

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NPI Profile Deactivated March 16, 2006

Record deactivated on March 16, 2006

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Initial NPI Registration & Enumeration July 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962400093
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2005
Last Update: July 09, 2007
Deactivation Date: March 16, 2006
Sole Proprietor: Yes

Mailing Address

884 Walker Rd, Suite 5c

Dover, DE 199042758

Phone: 3026742199

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.