| Dr Rickey Williamson, PHD | |
|
8939 S Sepulveda Blvd Ste 200, Los Angeles, CA 90045-3667 | |
| (424) 355-8717 | |
| (855) 336-3013 |
| Full Name | Dr Rickey Williamson |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 8939 S Sepulveda Blvd Ste 200, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578619417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY20072 (California) | Primary |
| Entity Name | Emmada Institute of Behavioral Health & Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992402416 PECOS PAC ID: 1456833003 Enrollment ID: O20260304000484 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rickey Williamson, PHD 617 N Mar Vista Ave Apt 4, Pasadena, CA 91106-1198 Ph: (626) 796-2239 | Dr Rickey Williamson, PHD 8939 S Sepulveda Blvd Ste 200, Los Angeles, CA 90045-3667 Ph: (424) 355-8717 |
Dr. Jennie M. Mathess, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 840 N Avenue 66, Los Angeles, CA 90042 Phone: 626-395-7100 |
Dr. Dennis S. Klos, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1554 S Sepulveda Blvd, Suite 211, Los Angeles, CA 90025 Phone: 310-476-5277 |
Dr. Karen Siscoe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 450 Bauchet St, Los Angeles, CA 90012 Phone: 213-473-6530 |
Dr. Kara Taguchi, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 550 S Vermont Ave, Adult Systems Of Care, 12th Floor, Los Angeles, CA 90020 Phone: 213-305-2999 Fax: 213-381-5497 |
Dr. Kara Lynn Hart, PSY,D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11500 W Olympic Blvd, Suite 500, Los Angeles, CA 90064 Phone: 310-871-7825 Fax: 310-478-6698 |
Molly Cevasco, PH.D., BCBA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4650 W Sunset Blvd, Ms #53, Los Angeles, CA 90027 Phone: 323-361-3849 |
Dr. Adam Vogel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 621 S Virgil Ave, #300, Los Angeles, CA 90005 Phone: 213-368-5400 |