JASON CYRIL WILLOUGHBY


Address: 11059 E. Bethany Drive, Ste 200, Aurora, CO 80014-9811
Phone: 3036172300

JASON CYRIL WILLOUGHBY (NPI# 1811202443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811202443
Entity Type Individual
Full Name JASON CYRIL WILLOUGHBY
Credential PSYD
Practice Address 11059 E. Bethany Drive
Ste 200
Aurora
CO 80014-9811
Mailing Address 1290 Chambers Rd
Aurora
CO 80011-7117
Practice Telephone 3036172300
Mailing Telephone 3036172300
Enumeration Date 2010-08-06
Last Update Date 2019-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
PSY.0003944 CO Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 84281375 05

Other Providers JASON WILLOUGHBY

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1023440963 Jason Willoughby Technician, Other 2236 Mulberry Ln, Placerville, CA 95667 2013-08-02
1497740583 Jason Alexander Willoughby Occupational Therapist 151 N Eagle Creek Dr, Suite 400, Lexington, KY 40509-1889 2005-09-14
1124453204 Jason Keith Willoughby Nurse Practitioner 927 Medical Center Dr, Bessemer, AL 35022-6081 2013-09-09

Office Location

Street Address 11059 E. BETHANY DRIVE
STE 200
City AURORA
State CO
Zip Code 80014-9811

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801996426 Deborah A Rykken Counselor 11059 E. Bethany Drive, Aurora, CO 80014 2006-09-24
1164979647 Amanda Myer Student in an Organized Health Care Education/Training Program 11059 E. Bethany Drive, Aurora, CO 80014 2016-09-01
1356894331 Gebremeskel Berhel Specialist 11059 E. Bethany Drive, Suite 200, Aurora, CO 80014 2016-07-26
1225412729 Rattana Chan Phon Case Manager/Care Coordinator 11059 E. Bethany Drive, Aurora, CO 80014-1712 2015-07-14
1891119210 Diana M Gleichmann Case Manager/Care Coordinator 11059 E. Bethany Drive, Aurora, CO 80014 2014-02-05
1356765770 Barbara Jean Simpson Case Manager/Care Coordinator 11059 E. Bethany Drive, Aurora, CO 80014 2014-02-05
1538581962 Victoria Elizabeth Douglas Case Manager/Care Coordinator 11059 E. Bethany Drive, Ste 200, Aurora, CO 80014-9811 2014-01-21
1821429689 Jennie T Lee Psychologist 11059 E. Bethany Drive, Aurora, CO 80014 2013-12-04
1346676020 Daniel Ross Chase Case Manager/Care Coordinator 11059 E. Bethany Drive, Ste 200, Aurora, CO 80014 2013-09-25
1841549474 Tawney Bass Case Manager/Care Coordinator 11059 E. Bethany Drive, Ste 200, Aurora, CO 80014 2012-08-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942825021 Dieuvil Varice Occupational Therapist 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 2020-06-14
1518437144 Curtis E Redd Case Manager/Care Coordinator 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 2018-11-27
1144795154 Prestige Adult Day Care LLC Clinic/Center 2860 S Havana St, Unit C, Aurora, CO 80014 2018-10-05
1609375492 Jacob Mcbride Behavior Technician 2121 S Blackhawk St 100, Aurora, CO 80014 2018-02-07
1265931240 Jasmine Nicole Joseph Behavior Technician 2121 S. Blackhawk St., Aurora, CO 80014 2018-02-06
1255830238 Russel Talukder Behavioral Analyst 2121 South Blackhawk St 100, Aurora, CO 80014 2018-02-06
1467951442 Dylan Kelley Behavior Technician 2121 Blackhawk St. Suite 100, Aurora, CO 80014 2018-02-06
1184123168 Talisa Fisher Behavior Technician 2121 S Blackhawk St Suite 100, Aurora, CO 80014 2018-02-06
1144732314 Hellen A Noamesi Registered Nurse Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 2017-10-27
1255840641 Amanda Dawn Thompson Massage Therapist 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 2017-09-28
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699217778 Bradley Kent Jackson Psychologist 13123 E 16th Ave # 245, Aurora, CO 80045-7106 2016-11-07
1811301153 Rachel Ahern Psychologist 1298 Peoria St, Aurora, CO 80011-6206 2014-06-15
1275856890 Idalia Massa Psychologist 12631 E 17th Ave Rm 3408, Blg: Ao1, Ms: F406, Uc School of Medicine, Aurora, CO 80045-2527 2010-03-10
1851546394 Ashley Danner Sward Psychologist 13001 E 17th Ave Fl 2, Aurora, CO 80045-2505 2008-11-25
1447800859 Layla Leilani Schimmel Psychologist 13123 E 16th Ave, Aurora, CO 80045-7106 2019-09-17
1881247401 Courtney Lynn Psychologist 13123 E 16th Ave, Aurora, CO 80045-7106 2019-07-23
1326509738 Michelle Clementi Psychologist 13123 E 16th Ave, Aurora, CO 80045-7106 2019-03-28
1851886584 Catherine Naclerio Psychologist 13123 E 16th Ave, Aurora, CO 80045-7106 2018-06-25
1679083992 Alexandra Ament Psychologist 13123 E 16th Ave, Aurora, CO 80045-7106 2017-10-02
1326564428 Catherine Wolcott Psychologist 13123 E 16th Ave, Aurora, CO 80045-7106 2017-08-21
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Competitor

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City AURORA
Zip Code 80014

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Dataset Information

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.

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