DR. MICHAEL JEFFREY WILLIS (NPI# 1013933720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013933720 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JEFFREY WILLIS |
| Credential | LMHC |
| Practice Address |
2833 E Genesee St Syracuse NY 13224-1524 |
| Practice Telephone | 3154466093 |
| Mailing Telephone | 3154466093 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
000406-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598835910 | Michael Willis | Chiropractor | 910 Hampshire Rd Ste U, Westlake Village, CA 91361-2896 | 2006-11-09 |
| 1912091869 | Michael Kenneth Willis | Dentist | 47 Barkley Cir, Fort Myers, FL 33907-7531 | 2006-10-03 |
| 1912917238 | Michael S Willis | Dentist | 445 Henslee Drive, Ste B, Dickson, TN 37055 | 2006-08-09 |
| 1528540382 | Michael Dwayne Willis | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2018-08-29 |
| 1780032706 | Michael Willis | Podiatrist | 1850 Westen St, Bowling Green, KY 42104-4152 | 2016-05-31 |
| 1164854154 | Michael B Willis | Physician Assistant | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2013-08-01 |
| 1235363847 | Michael L Willis | Nurse Practitioner | 3201 Kings Highway, Beth Israel Medical Center, Brooklyn, NY 11234-2625 | 2009-05-11 |
| 1629101506 | Michael Willis | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2007-03-13 |
| 1194888776 | Michael Willis | Anesthesiology | 1051 Hickory St, Melbourne, FL 32901-1962 | 2006-12-18 |
| 1023197464 | Michael C. Willis | Orthopaedic Surgery | 2702 8th Ave N, Billings, MT 59101-1107 | 2006-11-05 |
| Street Address |
2833 E GENESEE ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13224-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598329534 | Judie Lyn Gordon-louison | Registered Nurse | 2429 East Fayette Street, Syracuse, Syracuse, NY 13224 | 2019-04-25 |
| 1669942363 | Julie E. Clonan | Speech-Language Pathologist | 3049 E. Genesee St., Syracuse, NY 13224 | 2018-11-26 |
| 1043604762 | Heather Lynn Blum | Licensed Practical Nurse | 120 Niven Street, Syracuse, NY 13224 | 2015-03-19 |
| 1912226523 | Florence Delisi | Licensed Practical Nurse | 2315 East Fayette St, Syracuse, NY 13224 | 2010-05-21 |
| 1336476563 | Kimberlee Anne Difulio | Licensed Practical Nurse | 1615 Meadowbrook Drive, #3, Syracuse, NY 13224 | 2009-11-09 |
| 1134371081 | Amy Lynn Ezekiel | Speech-Language Pathologist | 3049 East Genesee Street, Syracuse, NY 13224 | 2008-10-22 |
| 1104951490 | Daniel Stephen Delluomo | Dentist | 3175 East Genesee St, Suite 2, Syracuse, NY 13224 | 2007-02-23 |
| 1447317037 | Fumiyo Hirano | Social Worker | 182 Edgehill Road, Syracuse, NY 13224 | 2007-01-02 |
| 1295811198 | Mark A Matloff | Psychologist | 409 Standish Drive, Syracuse, NY 13224 | 2006-10-31 |
| 1235222530 | Bernadine Alese Martin | Dentist | 1125 Salt Springs Road, Syracuse, NY 13224 | 2006-10-02 |
| Find all providers in zip 13224 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168155 | Kristin M Neagle | Counselor | 420 East Genesee St, Syracuse, NY 13202-2129 | 2020-03-11 |
| 1376182881 | Staceyann Reid | Counselor | 2212 Erie Blvd E Suite C, Syracuse, NY 13244-0001 | 2019-12-31 |
| 1265091375 | Kevin Joseph Roche | Counselor | 32a Ball Rd, Syracuse, NY 13215-1602 | 2019-06-12 |
| 1356905996 | Niccole R Lorenzo | Counselor | 6181 Thompson Rd Ste 803, Syracuse, NY 13206-1435 | 2019-04-29 |
| 1194281972 | Melissa Button | Counselor | 132 Nichols Ave, Syracuse, NY 13206-3045 | 2019-02-16 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1033626601 | Daniel Cervantes | Counselor | 46 Ems D18 Ln, Syracuse, IN 46567-7907 | 2018-01-04 |
| 1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1326436700 | Christine Matteson | Counselor | 1600 Teall Ave, Syracuse, NY 13206-3231 | 2015-01-07 |
| Find all providers in SYRACUSE | ||||
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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.