DR. SUSAN E WILLIS (NPI# 1467652180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467652180 |
| Entity Type | Individual |
| Full Name | DR. SUSAN E WILLIS |
| Credential | PH.D. |
| Practice Address |
1625 The Alameda Suite 404 San Jose CA 95126-2220 |
| Mailing Address |
1415 Savona Ct San Jose CA 95126-1628 |
| Practice Telephone | 6504647323 |
| Practice Fax Number | 4085542654 |
| Mailing Telephone | 6504647323 |
| Mailing Fax Number | 4085542654 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2010-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY9172 | CA | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
PSY9172 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669956553 | Susan Willis | Pharmacist | 712 Highway 371, Mooreville, MS 38857-7356 | 2018-09-18 |
| 1043315187 | Susan Willis | Psychiatry & Neurology | 3123 Fairview Ave E, Seattle, WA 98102-3051 | 2006-09-13 |
| 1689627945 | Susan Elizabeth Willis | Psychologist | 1066 W 4th St, Winston-salem, NC 27101-2434 | 2006-05-18 |
| 1619975448 | Susan M. Willis | Nurse Anesthetist, Certified Registered | 7205 Lake Mead Blvd, Arlington, TX 76016-4137 | 2005-07-14 |
| 1417415340 | Susan R Willis | Counselor | 3086 State Route 160, Gallipolis, OH 45631-8409 | 2019-03-11 |
| 1528422938 | Susan Willis | Counselor | 6 Roberts Rd, Asheville, NC 28803-8699 | 2016-04-12 |
| 1396080396 | Susan Donna Willis | Nurse Practitioner | 6608 Mercy Ct Ste C, Fair Oaks, CA 95628-3171 | 2012-12-01 |
| 1316268832 | Susan Diane Willis | Marriage & Family Therapist | 3951 Performance Dr, Suite #g, Sacramento, CA 95838-3264 | 2010-06-18 |
| 1578685780 | Susan Amy Willis | Counselor | 599 Canal St, Lawrence, MA 01840-1244 | 2007-04-06 |
| 1346304557 | Susan E Willis | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2006-12-21 |
| Street Address |
1625 THE ALAMEDA SUITE 404 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437199866 | Stuart Ellis Krigel | Psychiatry & Neurology | 1625 The Alameda, Suite 300, San Jose, CA 95126-2220 | 2006-06-07 |
| 1841734167 | Parent Solutions | Counselor | 1625 The Alameda, Suite 207, San Jose, CA 95126-2220 | 2016-12-05 |
| 1407160799 | John Anthony Orlando | Marriage & Family Therapist | 1625 The Alameda, Suite 305, San Jose, CA 95126-2220 | 2010-07-29 |
| 1588788061 | Jeffrey Lee Becker | Psychologist | 1625 The Alameda, Suite 512, San Jose, CA 95126-2224 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
| Find all providers in zip 95126 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861023020 | Widyasita Sawyer | Psychologist | 1189 Curtner Ave, San Jose, CA 95125-3618 | 2020-01-27 |
| 1861030033 | Maria-christina Stewart | Psychologist | 3141 Stevens Creek Blvd # 40167, San Jose, CA 95117-1141 | 2019-12-18 |
| 1306404504 | Palak Dipak Kothari | Psychologist | 20 S 2nd St Unit 425, San Jose, CA 95113-2532 | 2019-06-03 |
| 1942762299 | Dr. Danessa Mayo, Phd | Psychologist | 1190 Lincoln Ave Ste 7, San Jose, CA 95125-3036 | 2019-04-04 |
| 1104362433 | Samantha Kountz-edwards | Psychologist | 1588 Hallbrook Dr, San Jose, CA 95118-1611 | 2017-01-10 |
| 1306243530 | Kell Fujimoto | Psychologist | 2845 Moorpark Ave, Suite 203, San Jose, CA 95128-3158 | 2014-12-03 |
| 1174964092 | Brandi Marche Brooks | Psychologist | 1866 Half Pence Way, San Jose, CA 95132 | 2013-07-08 |
| 1306181284 | Marion Marsha Wadley | Psychologist | 1443 Lupton Ave, San Jose, CA 95125-3847 | 2012-12-04 |
| 1639433709 | Janice Jaishika Raj | Psychologist | 2400 Moorpark Ave., #300, San Jose, CA 95128 | 2012-07-03 |
| 1114296803 | Amanda M Walters | Psychologist | 1101 S Winchester Blvd Ste P297, San Jose, CA 95128 | 2011-12-24 |
| Find all providers in SAN JOSE | ||||
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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.