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Active NPI 1427994714 Individual Practitioner Male Practitioner

Jeff Williams

Psychologist - School • Fridley, MN

Professional Overview & Biography Verified Profile Summary

Jeff Williams is a registered healthcare professional specializing in Psychologist - School in Fridley, MN. Practice services are available at 6100 MOORE LAKE DR W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6100 Moore Lake Dr W

Fridley, MN 554325602

Telephone 7635025410

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - School in Fridley, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Fridley, MN (154 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

CMS Verified: 2026-04-28
Psychologist - School Primary Specialty

NUCC Taxonomy Code: 103TS0200X

State License MN 490305

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Practice Associates & Co-Workers

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

2 Associated Practitioners
Jaimie Beran

Social Worker - School

NPI 1588507032
Celeste Acosta

Social Worker - School

NPI 1679416127

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 28, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location April 28, 2026

Registered at 6100 MOORE LAKE DR W, FRIDLEY, MN 554325602 (Tel: 7635025410)

📍
Updated Business Mailing Address April 28, 2026

Registered at 6100 MOORE LAKE DR W, FRIDLEY, MN 554325602 (Tel: 7635025410)

👤
Provider Name / Credentials Updated April 28, 2026

Recorded as JEFF WILLIAMS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2026

Psychologist (License #490305 in MN)

🟢
Initial NPI Registration & Enumeration April 28, 2026

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: 1427994714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 28, 2026
Last Update: April 28, 2026
Sole Proprietor: No

Mailing Address

6100 Moore Lake Dr W

Fridley, MN 554325602

Phone: 7635025410

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.