DR. KENNETH W. WILLIS (NPI# 1356431696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356431696 |
| Entity Type | Individual |
| Full Name | DR. KENNETH W. WILLIS |
| Credential | M.D. |
| Practice Address |
168 Tamarack Cir Skillman NJ 08558-2021 |
| Practice Telephone | 6094971560 |
| Mailing Telephone | 6094971560 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25MA04067300 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3939901 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457841835 | Kenneth Daniel Willis | Dentist | 5012 Talmadge Rd Ste 100, Toledo, OH 43623 | 2018-05-11 |
| 1053486704 | Kenneth Dean Willis | Anesthesiology | 3007 Memorial Pkwy Sw, Huntsville, AL 35801-5393 | 2006-11-21 |
| 1639248867 | Kenneth Joseph Willis | Counselor | 2802 Broadway, Everett, WA 98201-3642 | 2006-11-06 |
| Street Address |
168 TAMARACK CIR |
| City | SKILLMAN |
| State | NJ |
| Zip Code | 08558-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083183693 | Pablo Lapuerta | Internal Medicine | 5 Seminole Rd, Skillman, NJ 08558 | 2018-11-13 |
| 1750877544 | Jeffrey S. Mannheimer, Pt, Phd, PC | Physical Therapist | 88 Orchard Road, Suite 11 In The Carriage House, Skillman, NJ 08558 | 2018-07-05 |
| 1366764417 | Rifat Parvez | Pharmacist | 35 Robin Drive, Skillman, NJ 08558 | 2010-02-17 |
| 1285964320 | Brighter Dental Care Montgomery & Skillman | Dentist | 46 Vreeland Drive, Skillman, NJ 08558 | 2010-01-13 |
| 1952637993 | Mary Susan Blanks | Obstetrics & Gynecology | 36 East Ridge Road, Skillman, NJ 08558 | 2009-10-27 |
| 1578722393 | American Health Equipment Company Inc | Durable Medical Equipment & Medical Supplies | 111 Colfax Rd, Skillman, NJ 08558 | 2008-06-06 |
| 1306039219 | Christine M Beach | Social Worker | Kenneth W. Willis Md, 168 Tamarack Circle, Skillman, NJ 08558 | 2007-08-23 |
| 1295936698 | Malcolm Joseph Zarnfaller | Chiropractor | 400 Mountain View Rd, Skillman, NJ 08558 | 2007-05-31 |
| 1912024068 | Natalie Star | Social Worker | 144 Tamarack Circle, Skillman, NJ 08558 | 2007-03-23 |
| 1093848103 | Aparma Chawla | Dentist | 67 Tamarack Circle, Skillman, NJ 08558 | 2007-03-14 |
| Find all providers in zip 08558 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376914382 | Robert Ashworth Harman | Psychiatry & Neurology | 67 Burnt Hill Rd, Skillman, NJ 08558-2107 | 2015-10-16 |
| 1275757171 | Yitzhak Shnaps | Psychiatry & Neurology | 41 Tamarack Cir, Skillman, NJ 08558-2019 | 2007-04-12 |
| 1396818076 | Jennifer Bright Dismukes | Psychiatry & Neurology | 88 Orchard Rd, Suite 2-6, Skillman, NJ 08558-2642 | 2006-11-17 |
| 1356361133 | Kurt Chester Stuebben | Psychiatry & Neurology | 144 Tamarack Cir, Skillman, NJ 08558-2021 | 2006-07-21 |
| 1629264783 | Regional Psychiatric Group, Pa | Psychiatry & Neurology | 144 Tamarack Cir, Skillman, NJ 08558-2021 | 2007-09-21 |
| 1801953872 | Aroga Medical Associates, PC | Psychiatry & Neurology | 188 Tamarack Cir, Skillman, NJ 08558-2021 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060580 | Neuropsychiatric Consultants PC | Psychiatry & Neurology | 489 Clifton Ave, Clifton, NJ 07011-3227 | 2020-10-12 |
| 1396354130 | Dignipsych Health Services | Psychiatry & Neurology | 1951 N Black Horse Pike, Williamstown, NJ 08094-3465 | 2020-07-28 |
| 1790309862 | Success Tms Professional Services New Jersey LLC | Psychiatry & Neurology | 240 Frisch Ct Ste 101, Paramus, NJ 07652-5249 | 2020-06-03 |
| 1851912596 | Labyrinth Psychiatry Group LLC | Psychiatry & Neurology | 1503 Saint Georges Ave Ste 201, Colonia, NJ 07067-3427 | 2020-05-05 |
| 1740829167 | Medical Psychiatric Associates LLC | Psychiatry & Neurology | 116 Village Blvd Ste 200, Princeton, NJ 08540-5700 | 2020-01-02 |
| 1003453986 | Genpsych Flemington | Psychiatry & Neurology | 200 Route 31 Ste 104, Flemington, NJ 08822-5812 | 2019-12-10 |
| 1730725052 | Ketamine Treatment Centers of Princeton, LLC | Psychiatry & Neurology | 91 S Jefferson Rd Ste 301, Whippany, NJ 07981-1037 | 2019-11-21 |
| 1205471042 | Yang Tms Center of New Jersey | Psychiatry & Neurology | 999 Route 73 N Ste 200a, Marlton, NJ 08053-1227 | 2019-11-15 |
| 1942868641 | Brightmindsmd LLC | Psychiatry & Neurology | 123 South Ave E, Westfield, NJ 07090-1454 | 2019-05-29 |
| 1699238741 | Comprehensive Behavioral Health Medicine | Psychiatry & Neurology | 121 Mountain Ct Ste 114, Hackettstown, NJ 07840-2317 | 2019-04-07 |
| Find all providers with the same taxonomy | ||||
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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.