ANN M WILLIS (NPI# 1033342910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033342910 |
| Entity Type | Individual |
| Full Name | ANN M WILLIS |
| Credential | MS, CASAC |
| Practice Address |
420 E Main St Middletown NY 10940-2516 |
| Mailing Address |
9 Maple Ln Monroe NY 10950-1010 |
| Practice Telephone | 8453425300 |
| Practice Fax Number | 8453425602 |
| Mailing Telephone | 8457743623 |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
17188 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416955 | Ann Butler Willis | Speech-Language Pathologist | 10325 Lanshire Dr, Dallas, TX 75238-3523 | 2020-01-16 |
| 1063814903 | Ann Willis | Speech-Language Pathologist | 17609 Ventura Blvd Ste 215, Encino, CA 91316-5126 | 2014-09-23 |
| 1134333057 | Ann Elisabeth Willis | Physical Therapy Assistant | 7400 Barlite Blvd, San Antonio, TX 78224-1308 | 2007-05-09 |
| Street Address |
420 E MAIN ST |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538551478 | Christina Wesolowski | Counselor | 420 E Main St, Middletown, NY 10940-2516 | 2015-03-02 |
| 1366775843 | John Shea | Counselor | 420 E Main St, Middletown, NY 10940-2516 | 2009-09-15 |
| 1982937561 | Joanne Ruth Morano | Social Worker | 420 E Main St, Middletown, NY 10940-2516 | 2009-09-14 |
| 1609009679 | Teresa Jean Bosch | Counselor | 420 E Main St, Middletown, NY 10940-2516 | 2009-08-25 |
| 1720210966 | William J Fitzhenry | Case Manager/Care Coordinator | 420 E Main St, Middletown, NY 10940-2516 | 2009-08-21 |
| 1316179559 | Donnell Lorenzo Hill | Case Manager/Care Coordinator | 420 E Main St, Middletown, NY 10940-2516 | 2009-08-21 |
| 1205068574 | Marie A Thomson | Social Worker | 420 E Main St, Middletown, NY 10940-2516 | 2009-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003443185 | Pursuecare Connecticut PC | Counselor | 101 Centerpoint Dr Ste 105, Middletown, CT 06457-7568 | 2020-03-26 |
| 1568020584 | Rashidah Cartwright | Counselor | 223 Wilson Ave, Middletown, NJ 07748-1528 | 2019-06-04 |
| 1962068296 | Pursuecare, LLC | Counselor | 101 Centerpoint Dr Ste 221, Middletown, CT 06457-7568 | 2019-05-13 |
| 1962978759 | Stephani Chandra Miller | Counselor | 160 N. Breiel Blvd, Middletown, OH 45042 | 2018-10-18 |
| 1649764549 | Hilarie Baron | Counselor | 26 Valley Rd Ste 202, Middletown, RI 02842-6371 | 2018-06-15 |
| 1700379773 | Starting Point of Kentucky, Psc | Counselor | 12610 Townepark Way, Middletown, KY 40243-2068 | 2018-06-13 |
| 1770076200 | Kimberly Sue Ross | Counselor | 2005 Central Ave, Middletown, OH 45044-4403 | 2018-06-09 |
| 1669964227 | Ashley Loren Witt | Counselor | 2005 Central Avenue, Middletown, OH 45044 | 2018-05-30 |
| 1831616242 | Shantha Angela Worley | Counselor | 2 Fortune Rd E, Middletown, NY 10941-1633 | 2017-08-25 |
| 1780082149 | Loretta Verderosa | Counselor | 426 Third Beach Rd, Middletown, RI 02842-5739 | 2014-12-16 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
Please comment or provide details below to improve the information on ANN M WILLIS.
| 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.